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Kentucky 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
$1,000.00 / $4,897.79 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,232.93 / $34,673.69 / $34,673.69
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $1,819.70 / $2,344.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $2,511.89 / $2,511.89
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
$1,174.90 / $6,760.83 / $31,622.78