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Nebraska rates for HCPCS 25685

Open treatment of trans-scaphoperilunar type of fracture dislocation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,083.97 / $8,477.27 / $19,276.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$671.98 / $671.98 / $3,852.43
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
$650.41 / $1,108.67 / $1,478.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,266.26 / $5,266.26 / $5,266.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,112.00 / $1,621.29 / $2,173.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$671.98 / $1,175.97 / $7,934.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$889.34 / $1,470.84 / $2,017.85
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,089.00 / $1,684.38 / $6,616.19
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.66 / $1,545.01 / $2,173.55
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$731.74 / $1,275.85 / $1,476.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,217.00 / $6,451.00 / $7,934.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$889.34 / $1,518.72 / $1,915.51