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North Dakota 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
$1,708.56 / $12,648.73 / $15,569.28
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$1,004.01 / $1,004.01 / $1,004.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,201.17 / $1,338.68 / $14,421.95
Aetna
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$33.21 / $86.55 / $162.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,555.75 / $18,270.88 / $18,407.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,559.75 / $2,815.85 / $3,301.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,567.41 / $3,081.92 / $4,105.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,338.68 / $2,154.44 / $9,169.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,471.90 / $2,512.60 / $3,456.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,415.07 / $2,408.56 / $3,113.15