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Louisiana 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
$900.00 / $2,837.00 / $5,604.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$1,208.57 / $1,260.67 / $2,127.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,636.68 / $12,435.05 / $27,360.92
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $1,657.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $400.00 / $400.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,215.00 / $9,403.00 / $23,200.00