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Utah 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
$4,387.00 / $23,394.53 / $35,581.62
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$1,536.64 / $1,536.64 / $1,536.64
Aetna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$5,703.07 / $5,703.07 / $5,703.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$836.81 / $1,607.11 / $6,153.00
Aetna
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$40.00 / $355.47 / $946.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,354.38 / $1,932.16 / $3,633.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.43 / $752.91 / $1,195.62
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,314.50 / $25,330.44 / $36,365.48
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$30,471.77 / $37,995.66 / $54,548.22
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,680.98 / $2,007.80 / $3,232.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,340.00 / $10,927.00 / $47,431.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,157.31 / $1,411.56 / $2,274.17