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Nebraska rates for HCPCS 27486

Revision of total knee arthroplasty, with or without allograft; 1 component

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,241.22 / $9,696.14 / $23,483.17
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$634.19 / $634.19 / $634.19
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
$1,268.36 / $2,283.07 / $10,174.00
Medica
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$2,844.84 / $5,159.08 / $5,159.08
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$355.61 / $644.89 / $644.89
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,635.29 / $3,140.80 / $4,334.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,148.00 / $9,696.00 / $15,622.00