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Washington, DC 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
$1,614.00 / $4,144.00 / $8,043.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$979.40 / $979.40 / $979.40
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,078.46 / $4,313.84 / $4,313.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,840.00 / $10,006.00 / $47,612.00