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Illinois 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
$1,105.00 / $3,087.07 / $9,387.78
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$751.93 / $1,389.91 / $1,543.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,177.87 / $19,631.84 / $39,312.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $908.00 / $16,000.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.84 / $2,523.89 / $7,700.32
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,421.00 / $7,842.00 / $21,651.00