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Alaska rates for HCPCS 27091

Removal of hip prosthesis; complicated, including total hip prosthesis, methylmethacrylate with or without insertion of spacer

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,587.49 / $10,480.00 / $13,413.92
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,503.36 / $7,780.54 / $10,892.76
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,503.36 / $7,780.54 / $10,892.76