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Arizona 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
$2,238.72 / $6,309.57 / $16,595.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $5,370.32 / $7,943.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $2,041.74 / $16,595.87
Medica
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$2,951.21 / $2,951.21 / $5,370.32
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$371.54 / $371.54 / $676.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $9,772.37 / $18,620.87