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Nebraska rates for HCPCS 25900

Amputation Forearm Through Radius & Ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$656.11 / $8,477.27 / $20,928.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$656.11 / $656.11 / $3,731.46
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
$636.08 / $1,084.22 / $1,445.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,313.00 / $1,589.30 / $2,107.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$656.11 / $1,148.19 / $3,390.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$860.99 / $1,442.88 / $1,954.76
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.04 / $1,611.53 / $2,223.31
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,193.42 / $1,610.62 / $2,107.76
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
$834.85 / $1,442.88 / $1,854.44