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Minnesota 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
$1,429.88 / $1,429.88 / $7,859.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$714.94 / $714.94 / $714.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,809.54 / $22,897.69 / $46,771.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,463.29 / $4,913.91 / $11,821.06
Cigna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$1,312.03 / $1,312.03 / $1,312.03
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$164.00 / $164.00 / $164.00
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,148.44 / $4,492.49 / $9,307.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,484.46 / $2,484.85 / $8,854.00
Medica
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$2,956.24 / $2,956.24 / $2,956.24
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$369.53 / $369.53 / $369.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,677.00 / $11,496.00 / $26,630.00