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Pennsylvania rates for HCPCS 27090

Removal Hip Prosthesis Separate Procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.00 / $3,066.00 / $7,799.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,531.00 / $27,840.00 / $46,296.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$941.20 / $941.20 / $941.20
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$93.69 / $93.69 / $93.69
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.00 / $3,839.00 / $8,017.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$941.20 / $941.20 / $941.20
Priority Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$93.69 / $93.69 / $93.69
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$815.45 / $815.45 / $902.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,747.00 / $2,824.00 / $5,678.00