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Maine 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
$1,853.14 / $1,853.14 / $16,464.43
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44,569.01 / $56,593.28 / $65,823.96
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,464.43 / $16,464.43 / $16,464.43