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Nebraska rates for HCPCS 25628

Open treatment of carpal scaphoid (navicular) fracture, includes internal fixation, when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,939.49 / $8,477.27 / $19,276.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,183.05 / $10,762.95 / $20,819.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,266.26 / $5,266.26 / $5,266.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$661.66 / $1,157.91 / $9,496.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$186.87 / $1,887.52 / $1,887.52
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,089.00 / $1,658.44 / $6,616.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,777.00 / $8,220.00 / $9,696.00