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Missouri 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
$2,035.00 / $5,560.00 / $15,458.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$801.72 / $801.72 / $1,142.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,232.00 / $5,720.00 / $24,141.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,661.00 / $9,661.00 / $10,814.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,603.44 / $2,834.88 / $9,147.00
Medica
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$3,825.93 / $3,825.93 / $6,958.71
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$478.24 / $478.24 / $869.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,578.00 / $5,833.00 / $38,731.00