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Tennessee 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
$1,410.35 / $3,067.73 / $7,602.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,662.00 / $2,870.00 / $4,235.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $19,964.56 / $20,372.77
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$402.19 / $789.44 / $789.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,794.00 / $3,626.00 / $6,291.00