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Virginia 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
$2,238.72 / $11,748.98 / $30,902.95
Aetna
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$19,054.61 / $19,054.61 / $19,054.61
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$25,703.96 / $43,651.58 / $53,703.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,862.09 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$158.49 / $331.13 / $851.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,915.35 / $30,199.52 / $30,199.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,862.09 / $3,162.28
Anthem BCBS
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$177.83 / $263.03 / $446.68
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $1,949.84 / $19,952.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $645.65 / $645.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,737.80 / $2,754.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,412.54 / $1,659.59
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $2,398.83 / $2,951.21
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $1,778.28 / $2,818.38
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $2,089.30 / $2,089.30
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $1,737.80 / $24,547.09
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,737.80 / $24,547.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,964.78 / $26,915.35 / $41,686.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,621.81 / $2,691.53