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Nebraska rates for HCPCS 25450

Epiphyseal arrest by epiphysiodesis or stapling; distal radius OR ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,083.97 / $8,477.27 / $19,276.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$556.87 / $566.97 / $2,999.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,094.34 / $5,385.17 / $10,416.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.41 / $936.50 / $1,248.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,368.73 / $2,368.73 / $2,368.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,114.00 / $1,358.92 / $1,821.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$566.97 / $992.20 / $7,221.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$745.37 / $1,232.72 / $1,694.87
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,089.00 / $1,492.23 / $2,961.89
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,031.51 / $1,240.27 / $1,821.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,178.00 / $7,221.00 / $8,816.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$745.37 / $1,232.72 / $1,605.41