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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
$4,570.88 / $7,943.28 / $15,135.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $912.01 / $4,466.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,882.50 / $16,982.44 / $33,113.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,258.93 / $1,778.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,379.62 / $21,379.62 / $21,379.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,819.70 / $2,344.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $1,288.25 / $26,915.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,513.56 / $6,025.60
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $1,819.70 / $2,511.89
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,379.62 / $21,379.62 / $21,379.62
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $1,862.09 / $2,511.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,120.11 / $13,489.63 / $23,442.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,445.44 / $1,995.26