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Michigan 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
$2,440.84 / $4,933.00 / $5,757.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$1,220.42 / $1,220.42 / $1,267.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,780.14 / $17,347.54 / $23,503.15
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,006.05 / $4,933.00 / $5,757.00
Health Alliance Plan
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$1,220.42 / $1,220.42 / $1,220.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,356.00 / $11,464.00 / $17,095.00