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Nebraska rates for HCPCS 25455

Epiphyseal arrest by epiphysiodesis or stapling; distal radius AND 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
$668.68 / $668.68 / $3,818.27
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
$647.41 / $1,103.55 / $1,471.42
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
$1,234.00 / $1,602.51 / $2,148.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$668.68 / $1,170.19 / $7,221.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$880.11 / $1,424.91 / $1,999.45
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,089.00 / $1,672.84 / $2,961.89
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,138.01 / $1,420.14 / $2,148.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,210.00 / $7,221.00 / $8,632.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$880.11 / $1,442.08 / $1,878.99