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Missouri 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
$2,035.00 / $8,874.25 / $25,075.84
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$6,798.00 / $6,798.00 / $20,198.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$812.78 / $812.78 / $1,156.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,083.70 / $1,510.81 / $6,153.00
Aetna
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$160.11 / $238.37 / $911.08
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,126.63 / $1,542.36 / $1,845.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,232.00 / $8,571.00 / $24,787.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,421.76 / $1,847.33 / $2,676.13
Anthem BCBS
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$198.82 / $258.97 / $374.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,661.00 / $16,144.00 / $21,281.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,281.31 / $1,834.05 / $2,968.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,220.35 / $2,160.66 / $25,000.00
Medica
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$2,273.19 / $2,273.19 / $35,560.28
Medica
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$2,029.64 / $2,029.64 / $31,750.25
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$324.74 / $324.74 / $5,080.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,362.09 / $1,912.94 / $13,550.61
Medica
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$282.14 / $282.14 / $282.14
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,100.67 / $2,100.67 / $2,100.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,695.00 / $6,250.00 / $34,144.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.79 / $1,724.93 / $2,931.95