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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
$4,265.80 / $7,585.78 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $741.31 / $2,691.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,128.31 / $10,715.19 / $20,892.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,148.15 / $1,621.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,495.41 / $5,495.41 / $5,495.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,659.59 / $2,137.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $1,174.90 / $10,471.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,380.38 / $5,495.41
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,659.59 / $2,290.87
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,495.41 / $5,495.41 / $5,495.41
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $1,698.24 / $2,290.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $6,456.54 / $9,549.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,288.25 / $1,862.09