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Nebraska rates for HCPCS 25449

Revision of arthroplasty, including removal of implant, wrist joint

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
$942.98 / $942.98 / $5,421.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,495.51 / $9,858.65 / $19,069.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$911.55 / $1,553.79 / $2,071.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,266.26 / $5,266.26 / $5,266.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,592.00 / $2,289.87 / $3,069.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$942.98 / $1,650.22 / $8,816.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,256.71 / $2,106.62 / $2,844.04
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,392.00 / $2,378.94 / $6,616.19
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,738.17 / $2,262.80 / $3,069.90
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
$1,256.71 / $2,252.80 / $2,758.97