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Nebraska rates for HCPCS 25605

Cltx Dstl Rdl Fx/Epiphysl Sep W/Manj When Perf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$474.72 / $5,463.36 / $13,841.56
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$356.04 / $356.04 / $377.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.72 / $567.14 / $2,488.21
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.09 / $551.13 / $551.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,350.61 / $4,406.97 / $8,524.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.55 / $817.38 / $1,094.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,257.44 / $1,257.44 / $1,257.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$832.00 / $1,188.13 / $1,599.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$474.72 / $855.42 / $2,369.15
Medica
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$1,688.06 / $1,688.06 / $1,688.06
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$654.36 / $1,113.08 / $3,865.12
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,019.37 / $1,257.44 / $1,602.01
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$946.00 / $1,160.30 / $1,599.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,775.00 / $3,227.00 / $6,169.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$654.36 / $1,113.08 / $1,409.38