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Nebraska rates for HCPCS 25426

Repair of defect with autograft; radius AND ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,241.22 / $10,431.19 / $20,928.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,017.98 / $1,017.98 / $5,866.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,018.72 / $10,546.81 / $20,400.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$983.25 / $1,676.00 / $2,234.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,125.15 / $3,125.15 / $3,125.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,014.00 / $2,479.92 / $3,324.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.98 / $1,781.47 / $7,221.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,358.32 / $2,274.17 / $3,072.92
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,285.00 / $2,743.00 / $3,994.63
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,882.42 / $2,414.03 / $3,324.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,178.00 / $7,441.00 / $8,816.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,358.32 / $2,246.44 / $2,925.61