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Connecticut 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
$3,614.22 / $8,963.00 / $32,174.56
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$1,438.93 / $1,438.93 / $1,807.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,987.00 / $34,668.00 / $48,414.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$843.00 / $28,000.00 / $28,000.00
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,905.65 / $24,037.00 / $24,527.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,345.00 / $15,275.00 / $23,276.00