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Nebraska rates for HCPCS 25909

Amputation, forearm, through radius and ulna; re-amputation

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
$627.16 / $627.16 / $3,591.38
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
$606.58 / $1,033.95 / $1,378.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,264.06 / $1,509.15 / $2,022.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.16 / $1,097.55 / $7,934.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$828.45 / $1,392.95 / $1,880.65
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$788.10 / $1,546.19 / $2,133.63
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,145.03 / $1,534.19 / $2,022.31
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
$828.45 / $1,392.95 / $1,784.36