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Montana 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
$4,626.00 / $10,713.51 / $33,148.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,243.34 / $24,127.81 / $40,111.16
Aetna
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$209.10 / $567.97 / $34,686.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,031.17 / $2,031.17 / $2,031.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,031.17 / $2,031.17 / $2,031.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,209.45 / $2,031.17 / $2,280.28
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,005.13 / $1,382.05 / $2,123.12
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,229.95 / $2,031.17 / $2,738.40
Providence
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$327.05 / $351.50 / $464.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,947.70 / $2,268.39 / $2,509.42