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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
$4,241.22 / $10,431.19 / $21,899.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,018.72 / $10,546.81 / $20,400.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,951.09 / $12,951.09 / $12,951.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.69 / $1,390.71 / $9,696.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$224.36 / $4,641.89 / $4,641.89
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,392.00 / $1,991.71 / $16,975.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,777.00 / $8,220.00 / $9,696.00