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Nebraska rates for HCPCS 25622

Closed treatment of carpal scaphoid (navicular) fracture; without manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $7,585.78 / $13,489.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $323.59 / $1,659.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388.44 / $4,365.16 / $8,511.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $457.09 / $616.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $204.17 / $204.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $660.69 / $912.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $467.74 / $1,230.27
Medica
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$954.99 / $954.99 / $954.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $602.56 / $2,344.23
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $691.83 / $912.01
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $204.17 / $204.17
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $741.31 / $954.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $1,230.27 / $4,466.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $489.78 / $741.31