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Missouri 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
$1,983.50 / $6,284.00 / $20,183.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$617.26 / $617.26 / $879.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,232.00 / $5,720.00 / $24,141.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,661.00 / $9,661.00 / $10,814.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,262.48 / $2,194.21 / $9,147.00
Medica
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$2,956.24 / $2,956.24 / $5,369.79
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$369.53 / $369.53 / $671.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,578.00 / $5,833.00 / $38,731.00