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New York 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
$2,019.71 / $5,845.00 / $31,581.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$990.94 / $1,223.80 / $1,686.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,826.00 / $12,447.00 / $58,963.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,688.01 / $2,688.01 / $37,499.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.96 / $2,155.96 / $43,302.00
Cigna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$1,701.26 / $1,701.26 / $1,701.26
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$212.66 / $212.66 / $212.66
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $2,804.00 / $5,040.07
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,770.48 / $1,770.48 / $1,770.48
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,433.99 / $20,433.99 / $24,892.79
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $2,155.96 / $54,793.00
MVP Health Care
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$1,701.26 / $1,701.26 / $1,701.26
MVP Health Care
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$212.66 / $212.66 / $212.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,673.00 / $11,223.00 / $41,432.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,260.27 / $2,260.27 / $8,980.37