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Nebraska rates for HCPCS 25526

Open treatment of radial shaft fracture, includes internal fixation, when performed, and open treatment of distal radioulnar joint dislocation (Galeazzi fracture/ dislocation), includes internal fixation, when performed, includes repair of triangular fibrocartilage complex

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,241.22 / $8,477.27 / $21,899.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$871.67 / $871.67 / $5,000.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,183.05 / $10,762.95 / $20,819.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$843.82 / $1,438.32 / $1,917.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,173.26 / $7,173.26 / $7,173.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,653.00 / $2,104.91 / $2,821.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$871.67 / $1,574.29 / $9,496.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,154.40 / $1,936.00 / $2,618.92
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,392.00 / $2,350.81 / $7,699.29
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,597.77 / $2,082.80 / $2,821.93
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$947.10 / $1,651.36 / $1,915.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,777.00 / $8,220.00 / $9,696.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,154.40 / $1,943.21 / $2,486.40