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Massachusetts 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
$2,570.40 / $4,073.80 / $7,585.78
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $6,025.60 / $31,622.78
AllWays Health Partners
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$14,791.08 / $14,791.08 / $14,791.08
AllWays Health Partners
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,819.70 / $1,819.70 / $1,819.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,417.38 / $20,892.96 / $20,892.96
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $2,137.96 / $8,511.38
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $7,244.36 / $25,703.96
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $6,025.60 / $31,622.78
Mass General Brigham
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$14,791.08 / $14,791.08 / $14,791.08
Mass General Brigham
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,819.70 / $1,819.70 / $1,819.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $7,413.10 / $32,359.37