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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
$6,025.60 / $8,511.38 / $38,904.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,882.50 / $16,982.44 / $33,113.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,489.63 / $13,489.63 / $13,489.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $2,398.83 / $15,135.61
Medica
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$2,951.21 / $5,370.32 / $5,370.32
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$371.54 / $676.08 / $676.08
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,754.23 / $3,311.31 / $4,570.88
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,489.63 / $13,489.63 / $13,489.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,317.64 / $10,000.00 / $16,982.44