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Indiana 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
$1,386.00 / $2,877.80 / $10,985.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$876.87 / $876.87 / $2,253.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,499.00 / $35,179.00 / $49,433.26
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,736.90 / $2,383.98 / $3,575.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,526.00 / $15,288.00 / $26,923.00