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Nebraska rates for HCPCS 27138

Revj Tot Hip Arthrp Fem Only W/Wo Algrft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,774.45 / $11,704.59 / $27,005.65
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$685.69 / $685.69 / $685.69
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
$1,371.37 / $2,470.19 / $9,815.00
Medica
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$3,069.67 / $5,576.91 / $5,576.91
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$383.71 / $697.11 / $697.11
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,779.86 / $3,425.97 / $4,700.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,148.00 / $9,696.00 / $15,622.00