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Nebraska rates for HCPCS 25924

Disarticulation through wrist; re-amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$655.23 / $8,477.27 / $20,928.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$655.23 / $655.23 / $3,665.33
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
$631.86 / $1,077.03 / $1,436.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,033.00 / $1,502.20 / $2,027.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$655.23 / $1,146.65 / $3,370.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$842.80 / $1,264.20 / $1,918.98
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$778.80 / $1,539.76 / $2,231.65
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,140.26 / $1,435.29 / $2,013.90
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
$816.26 / $1,310.86 / $1,692.46