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New York 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
$1,819.00 / $4,545.00 / $10,965.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,283.00 / $5,203.00 / $12,164.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,245.86 / $2,245.86 / $37,499.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,802.76 / $1,802.76 / $43,302.00
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$178.36 / $178.36 / $178.36
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $1,704.39 / $4,230.14
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,485.79 / $1,485.79 / $1,485.79
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $43,302.00
MVP Health Care
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$178.36 / $178.36 / $178.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,031.00 / $4,840.00 / $9,416.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,895.51 / $1,895.51 / $7,003.22