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Missouri 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
$1,607.02 / $4,261.00 / $8,000.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,224.00 / $4,428.00 / $10,043.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,342.89 / $2,236.28 / $4,310.93
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$402.19 / $402.19 / $730.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,438.00 / $2,874.00 / $5,991.00