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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
$1,445.44 / $1,445.44 / $22,387.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,709.64 / $25,703.96 / $58,884.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $5,128.61 / $12,302.69
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
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,981.07 / $5,011.87 / $9,772.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $2,884.03 / $12,022.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $10,964.78 / $29,512.09