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Nebraska rates for HCPCS 25810

Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $7,943.28 / $15,135.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,943.28 / $10,471.29 / $20,417.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,803.84 / $13,803.84 / $13,803.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $1,412.54 / $19,054.61
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$223.87 / $4,677.35 / $4,677.35
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $1,995.26 / $2,691.53
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,803.84 / $13,803.84 / $13,803.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,079.46 / $9,772.37 / $16,982.44