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Nebraska rates for HCPCS 27558

Open Tx Knee Dislocation W/Repair/Reconstruction

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,241.22 / $10,431.19 / $21,899.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,073.04 / $1,073.04 / $6,215.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,921.80 / $10,419.34 / $20,154.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,034.16 / $1,762.77 / $2,350.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,963.00 / $2,624.01 / $3,526.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,073.04 / $1,877.82 / $6,910.85
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,443.18 / $2,386.80 / $3,256.82
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,387.49 / $2,678.14 / $3,678.07
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,996.58 / $2,571.44 / $3,526.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,178.00 / $7,441.00 / $8,816.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,443.18 / $2,397.17 / $2,928.55