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Nebraska rates for HCPCS 25442

Arthroplasty with prosthetic replacement; distal ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,241.22 / $10,431.19 / $21,899.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$742.30 / $742.30 / $4,244.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,999.34 / $17,097.68 / $33,072.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$717.59 / $1,223.17 / $1,630.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,163.52 / $22,163.52 / $22,163.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,235.00 / $1,792.43 / $2,403.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$742.30 / $1,299.03 / $15,622.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$981.89 / $1,623.90 / $2,226.64
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,392.00 / $1,858.36 / $27,547.46
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,360.00 / $1,714.07 / $2,403.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,148.00 / $9,696.00 / $15,622.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$981.89 / $1,633.07 / $1,992.48