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Nebraska rates for HCPCS 25690

Closed treatment of lunate dislocation, with manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,506.15 / $5,463.36 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.76 / $455.76 / $2,564.15
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
$443.31 / $755.64 / $1,007.54
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
$686.00 / $1,105.00 / $1,435.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$455.76 / $797.58 / $3,044.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$587.67 / $970.83 / $1,341.90
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$646.00 / $1,148.06 / $1,597.11
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$767.00 / $968.21 / $1,427.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,044.00 / $3,726.00 / $7,934.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$587.67 / $971.93 / $1,192.53