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Nebraska rates for HCPCS 27487

Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,241.22 / $10,431.19 / $23,739.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$789.62 / $789.62 / $789.62
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
$1,579.23 / $2,842.61 / $13,049.04
Medica
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$3,534.21 / $6,418.56 / $6,418.56
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$441.78 / $802.32 / $802.32
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,044.85 / $3,945.91 / $5,407.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,158.00 / $9,696.00 / $15,622.00