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Indiana 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
$120.23 / $3,548.13 / $18,197.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,589.25 / $30,902.95 / $43,651.58
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $1,445.44 / $1,659.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $2,344.23 / $3,630.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $13,803.84 / $22,387.21