go back

Maine rates for HCPCS 27130

Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft or allograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,371.28 / $9,562.04 / $22,821.30
Aetna
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$16,373.45 / $16,373.45 / $16,373.45
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$9,648.60 / $14,758.01 / $15,214.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,239.27 / $1,490.92 / $2,013.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,342.04 / $1,736.76 / $2,457.07
Anthem BCBS
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$187.88 / $243.14 / $343.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,303.73 / $1,953.29 / $2,753.17
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,604.69 / $1,856.63 / $2,848.16
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,165.85 / $18,079.04 / $29,092.19
Martin's Point
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$16,373.45 / $16,373.45 / $16,373.45
Martin's Point
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$9,648.60 / $13,045.34 / $15,214.16
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,317.95 / $1,707.27 / $2,049.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,297.54 / $1,894.31 / $2,449.54