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Nationwide rates for HCPCS 27137

Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $6,025.60 / $18,197.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,168.69 / $12,302.69 / $28,183.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $3,630.78 / $12,302.69
Cigna
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$3,019.95 / $3,019.95 / $3,019.95
Cigna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$251.19 / $251.19 / $251.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $12,022.64 / $32,359.37