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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
$1,778.28 / $5,623.41 / $18,620.87
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $6,025.60 / $20,417.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,709.64 / $9,772.37 / $10,715.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $2,187.76 / $11,481.54
Medica
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$2,951.21 / $5,370.32 / $5,370.32
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$371.54 / $676.08 / $676.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $5,495.41 / $18,620.87