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Nebraska rates for HCPCS 24370

Revision of total elbow arthroplasty, including allograft when performed; humeral or ulnar component

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $7,943.28 / $15,135.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $1,548.82 / $8,317.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,882.50 / $16,982.44 / $33,113.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $2,344.23 / $3,311.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,882.50 / $12,882.50 / $12,882.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $3,388.44 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $2,454.71 / $19,054.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $3,090.30 / $11,220.18
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,884.03 / $3,548.13 / $4,786.30
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,882.50 / $12,882.50 / $12,882.50
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,311.31 / $3,467.37 / $4,786.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,120.11 / $10,964.78 / $16,982.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $2,818.38 / $3,890.45