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Nebraska rates for HCPCS 27488

Removal of prosthesis, including total knee prosthesis, methylmethacrylate with or without insertion of spacer, knee

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,241.22 / $10,431.19 / $21,899.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,921.80 / $10,419.34 / $20,154.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,087.02 / $1,902.29 / $8,220.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$305.14 / $552.54 / $552.54
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,394.16 / $2,656.46 / $3,708.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,777.00 / $8,220.00 / $9,696.00