go back

Montana 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
$22,554.90 / $22,554.90 / $22,554.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,999.16 / $2,999.16 / $2,999.16
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,483.39 / $2,039.66 / $2,999.16