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West Virginia 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
$1,400.00 / $1,578.59 / $2,446.69
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,687.80 / $1,894.80 / $2,064.41
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