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Nebraska rates for HCPCS 25695

Open treatment of lunate dislocation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $5,011.87 / $12,589.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $724.44 / $3,548.13
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
$588.84 / $977.24 / $1,412.54
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
$676.08 / $1,412.54 / $1,862.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $1,023.29 / $10,471.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $1,174.90 / $4,677.35
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,445.44 / $1,995.26
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
$1,412.54 / $1,445.44 / $1,995.26
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
$660.69 / $1,122.02 / $1,584.89