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Nebraska rates for HCPCS 25922

Disarticulation through wrist; 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
$595.04 / $595.04 / $3,313.64
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
$574.24 / $978.82 / $1,305.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,257.44 / $1,257.44 / $1,257.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$902.00 / $1,359.54 / $1,845.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$595.04 / $1,041.32 / $4,217.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$760.66 / $1,140.98 / $1,734.60
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,010.00 / $1,351.40 / $1,822.65
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$988.70 / $1,246.54 / $1,822.65
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
$760.66 / $1,298.97 / $1,536.99