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Nebraska rates for HCPCS 27137

Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,241.22 / $11,265.38 / $27,005.65
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$660.14 / $660.14 / $660.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,999.34 / $17,097.68 / $33,072.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,320.28 / $2,373.00 / $9,815.00
Medica
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$2,956.24 / $5,369.79 / $5,369.79
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$369.53 / $671.22 / $671.22
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,713.09 / $3,299.38 / $4,521.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,148.00 / $9,696.00 / $15,622.00