go back

Montana 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
$22,387.21 / $22,387.21 / $22,387.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,773.51 / $81,283.05 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $2,290.87 / $2,290.87
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $2,511.89 / $2,691.53
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $2,137.96 / $2,884.03