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Nebraska rates for HCPCS 25907

Amputation, forearm, through radius and ulna; secondary closure or scar revision

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $7,585.78 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $851.14 / $3,388.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $5,370.32 / $10,471.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $954.99 / $1,348.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $2,454.71 / $2,454.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $1,380.38 / $1,778.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $1,023.29 / $7,762.47
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,202.26 / $5,248.07
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,380.38 / $1,905.46
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $2,454.71 / $2,454.71
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,412.54 / $1,905.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $4,897.79 / $8,128.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,122.02 / $1,513.56