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Nebraska rates for HCPCS 25920

Disarticulation through wrist;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$670.56 / $8,477.27 / $20,928.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$670.56 / $670.56 / $3,755.07
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
$646.78 / $1,102.49 / $1,469.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,035.00 / $1,603.35 / $2,076.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$670.56 / $1,173.48 / $3,450.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$863.28 / $1,415.15 / $1,965.68
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$803.99 / $1,593.15 / $2,282.77
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,156.00 / $1,445.38 / $2,073.67
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
$836.59 / $1,415.15 / $1,843.91