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Pennsylvania 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
$1,216.00 / $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
$1,802.76 / $1,802.76 / $1,802.76
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$178.36 / $178.36 / $178.36
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,155.32 / $19,155.32 / $19,155.32
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $3,839.00 / $8,017.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,802.76 / $1,802.76 / $1,802.76
Priority Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$178.36 / $178.36 / $178.36
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,554.82 / $1,554.82 / $1,745.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,747.00 / $2,824.00 / $5,678.00