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Nebraska rates for HCPCS 25695

Open Treatment Lunate Dislocation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,653.00 / $5,463.36 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$581.49 / $581.49 / $3,325.44
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
$563.09 / $959.80 / $1,279.74
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
$971.00 / $1,399.88 / $1,871.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$581.49 / $1,017.61 / $7,934.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$766.66 / $1,267.94 / $1,741.29
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$953.00 / $1,522.00 / $6,616.19
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,059.55 / $1,382.87 / $1,871.33
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$636.39 / $1,109.59 / $1,277.86
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
$766.66 / $1,267.94 / $1,651.27