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Illinois 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
$1,288.25 / $5,370.32 / $14,454.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,848.93 / $19,054.61 / $42,657.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,848.93 / $15,848.93 / $15,848.93
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $3,311.31 / $12,882.50
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $8,912.51 / $25,703.96