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Nebraska rates for HCPCS 25805

Arthrodesis Wrist W/Sliding Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,241.22 / $10,431.19 / $21,899.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$773.26 / $773.26 / $4,432.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,018.72 / $10,546.81 / $20,400.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.00 / $1,275.02 / $1,700.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,478.13 / $7,478.13 / $7,478.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,408.00 / $1,863.96 / $2,498.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$773.26 / $1,353.21 / $9,496.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.41 / $1,692.57 / $2,321.26
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,392.00 / $2,029.13 / $9,223.31
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,414.87 / $1,775.64 / $2,498.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,777.00 / $8,220.00 / $9,696.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.41 / $1,718.84 / $2,204.27