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Louisiana 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
$1,096.48 / $3,162.28 / $7,943.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,623.41 / $12,589.25 / $27,542.29
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $1,288.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $398.11 / $398.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $9,772.37 / $25,703.96