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Maryland rates for HCPCS 27091

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

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.00 / $507.00 / $641.21
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,661.95 / $2,158.44 / $2,799.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$520.00 / $520.00 / $733.00