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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
$4,083.97 / $8,477.27 / $19,276.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$563.65 / $563.65 / $3,221.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,094.34 / $5,385.17 / $10,416.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.32 / $931.23 / $1,241.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,368.73 / $2,368.73 / $2,368.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,138.48 / $1,358.75 / $1,806.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$563.65 / $986.39 / $5,405.32
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$742.08 / $1,244.86 / $1,686.78
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,089.00 / $1,520.69 / $2,961.89
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.07 / $1,379.18 / $1,806.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,217.00 / $6,451.00 / $7,934.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$742.08 / $1,244.86 / $1,505.85