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Nebraska rates for HCPCS 25931

Transmetacarpal amputation; re-amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$739.15 / $8,477.27 / $20,928.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$739.15 / $739.15 / $4,076.53
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
$708.45 / $1,207.58 / $1,610.11
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
$1,170.00 / $1,637.69 / $2,274.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$739.15 / $1,293.51 / $5,405.32
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$929.94 / $1,394.91 / $2,132.42
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,315.00 / $1,834.68 / $2,961.89
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,243.11 / $1,573.26 / $2,195.54
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
$895.62 / $1,475.46 / $1,909.22