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North Dakota 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
$1,888.23 / $1,888.23 / $9,500.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$944.12 / $944.12 / $944.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,888.23 / $2,613.94 / $3,487.56