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Michigan 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
$4,897.79 / $11,481.54 / $25,703.96
Aetna
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$34,673.69 / $34,673.69 / $34,673.69
Aetna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$20,892.96 / $20,892.96 / $20,892.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,819.70 / $9,120.11
Aetna
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$158.49 / $323.59 / $912.01
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $1,071.52 / $1,698.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $426.58 / $1,023.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $2,290.87 / $3,162.28
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $1,862.09 / $5,754.40
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,659.59 / $2,951.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,621.81 / $3,630.78
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,168.69 / $9,772.37 / $24,547.09
Health Alliance Plan
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$34,673.69 / $34,673.69 / $34,673.69
Health Alliance Plan
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$20,892.96 / $20,892.96 / $20,892.96
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,737.80 / $4,570.88
Health Alliance Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$128.82 / $275.42 / $870.96
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,513.56 / $2,344.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,244.36 / $11,220.18 / $22,387.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,698.24 / $2,238.72