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Nebraska rates for HCPCS 27091

Removal of hip prosthesis; complicated, including total hip prosthesis, methylmethacrylate with or without insertion of spacer

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,083.97 / $8,477.27 / $19,276.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,952.65 / $9,144.62 / $17,688.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,436.84 / $2,514.46 / $6,451.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$402.19 / $730.11 / $730.11
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,855.35 / $3,510.16 / $4,916.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,217.00 / $6,451.00 / $7,934.00