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Nebraska rates for HCPCS 25624

Closed treatment of carpal scaphoid (navicular) fracture; with manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$459.05 / $4,778.89 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.12 / $459.05 / $2,325.16
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
$438.57 / $724.55 / $996.76
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
$664.00 / $1,054.90 / $1,395.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$415.12 / $767.97 / $1,775.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$585.16 / $964.76 / $3,386.88
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.39 / $1,159.94 / $1,540.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$786.00 / $1,020.38 / $1,372.37
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
$585.16 / $877.73 / $1,257.06