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New York 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
$1,817.57 / $9,348.00 / $50,539.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$19,434.06 / $31,862.86 / $80,694.25
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$1,050.81 / $1,245.59 / $1,713.20
Aetna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$13,896.56 / $13,896.56 / $13,896.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,209.38 / $1,701.99 / $15,589.40
Aetna
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$148.71 / $282.00 / $799.27
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,162.27 / $1,687.79 / $1,919.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,826.00 / $13,400.00 / $64,715.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,186.83 / $1,551.42 / $3,635.66
Anthem BCBS
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$166.15 / $217.19 / $506.43
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,814.05 / $16,814.00 / $21,218.00
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,814.05 / $1,814.05 / $1,814.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,455.37 / $41,574.00 / $50,089.00
Cigna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$1,008.15 / $1,008.15 / $1,008.15
Cigna
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$900.13 / $900.13 / $900.13
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$144.02 / $144.02 / $144.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,293.01 / $2,184.21 / $5,866.86
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $2,022.00 / $52,948.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,396.64 / $2,122.85 / $5,481.00
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,199.34 / $1,199.34 / $1,199.34
Excellus BCBS
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$947.49 / $947.49 / $947.49
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,152.57 / $1,530.60 / $2,700.02
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,050.79 / $17,410.16 / $24,991.51
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$9,025.74 / $9,025.74 / $9,025.74
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,343.97 / $1,821.61 / $4,000.00
Highmark BCBS
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$189.13 / $375.55 / $510.00
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $37,385.00 / $50,089.00
MVP Health Care
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$1,008.15 / $1,008.15 / $1,008.15
MVP Health Care
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$900.13 / $900.13 / $900.13
MVP Health Care
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$144.02 / $144.02 / $144.02
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,373.65 / $2,104.87 / $5,064.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,673.00 / $11,420.00 / $44,373.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,207.49 / $1,691.05 / $4,444.70
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,530.60 / $1,530.60 / $6,465.89
Univera
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$947.49 / $1,209.17 / $1,209.17
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,226.08 / $1,671.42 / $3,235.44