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Nebraska rates for HCPCS 27138

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,165.95 / $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
$13,803.84 / $13,803.84 / $13,803.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $2,454.71 / $15,488.17
Medica
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$3,090.30 / $5,623.41 / $5,623.41
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$380.19 / $691.83 / $691.83
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,884.03 / $3,467.37 / $4,677.35
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,803.84 / $13,803.84 / $13,803.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,317.64 / $10,000.00 / $16,982.44