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Colorado rates for HCPCS 27134

Revision of total hip arthroplasty; both components, with or without autograft or allograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,356.30 / $7,704.00 / $13,516.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$943.32 / $943.32 / $943.32
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,713.00 / $26,117.75 / $49,288.00
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,886.64 / $2,540.71 / $3,395.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,054.76 / $2,727.22 / $4,202.91
Kaiser Permanente
Facility/Professional
Professional
Modifier
80
Low / Median / High Price
$59.77 / $59.77 / $59.77
Kaiser Permanente
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$50.81 / $50.81 / $50.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,858.00 / $21,238.00 / $30,333.00