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Pennsylvania 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
$4,358.64 / $11,517.33 / $35,410.50
Aetna
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$5,172.85 / $18,648.05 / $29,808.73
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$10,328.00 / $49,785.95 / $63,099.72
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$895.19 / $997.25 / $997.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$836.81 / $1,490.92 / $5,265.00
Aetna
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$165.02 / $322.45 / $836.81
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,213.34 / $1,974.97 / $2,183.96
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,525.12 / $19,599.00 / $68,287.73
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,406.28 / $1,637.77 / $4,902.05
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,531.00 / $27,840.00 / $43,981.00
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,286.15 / $2,055.13 / $3,049.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,455.37 / $1,455.37 / $1,455.37
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
$1,239.39 / $1,650.70 / $2,722.62
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,619.12 / $2,054.38 / $3,098.31
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,576.70 / $24,373.80 / $55,650.66
Highmark BCBS
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$20,853.22 / $23,192.92 / $37,066.14
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$8,745.12 / $21,032.17 / $158,763.66
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,521.25 / $1,686.46 / $2,135.78
Highmark BCBS
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$203.32 / $227.58 / $265.82
Independence Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,599.76 / $18,670.00 / $44,929.75
Independence Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,406.28 / $1,575.03 / $2,984.24
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,457.39 / $12,287.58 / $36,185.61
Martin's Point
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$5,172.85 / $18,648.05 / $29,808.73
Martin's Point
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$10,328.00 / $34,321.24 / $63,099.72
Martin's Point
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$997.25 / $997.25 / $997.25
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$550.85 / $1,682.20 / $3,594.00
Martin's Point
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$165.02 / $312.37 / $799.27
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,812.60 / $1,820.03 / $2,814.50
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,455.37 / $1,455.37 / $1,455.37
Priority Health
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$1,008.15 / $1,008.15 / $1,008.15
Priority Health
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$900.13 / $900.13 / $900.13
Priority Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$144.02 / $144.02 / $144.02
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,239.39 / $1,659.52 / $2,790.01
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,254.66 / $1,254.66 / $1,913.72
UPMC Health Plan
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$1,807.11 / $1,807.11 / $1,807.11
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,212.03 / $1,265.06 / $1,913.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,340.00 / $6,573.00 / $14,299.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,285.99 / $1,689.78 / $2,652.21