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Nebraska rates for HCPCS 25491

Proph Tx N/P/Pltwr W/Wo Methylmethacrylate 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
$675.34 / $675.34 / $3,870.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,018.72 / $10,546.81 / $20,400.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$653.74 / $1,114.33 / $1,485.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,611.15 / $12,611.15 / $12,611.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,362.34 / $1,652.83 / $2,186.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$675.34 / $1,224.88 / $8,816.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$893.57 / $1,503.80 / $2,027.31
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,089.00 / $1,821.27 / $13,650.92
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,238.15 / $1,652.83 / $2,186.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,178.00 / $8,816.00 / $19,047.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$893.57 / $1,525.94 / $1,924.61