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Maryland 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
$2,357.21 / $3,573.59 / $17,465.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.00 / $507.00 / $641.21
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,974.55 / $2,570.84 / $3,334.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,169.00 / $2,169.00 / $4,028.00