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North Carolina 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
$1,431.43 / $2,236.75 / $13,764.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$715.72 / $727.37 / $1,155.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,521.74 / $6,521.74 / $9,318.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.10 / $606.10 / $606.10
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,431.43 / $2,054.28 / $3,018.19
Medcost
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$368.35 / $471.00 / $647.01
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$257.85 / $329.70 / $452.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,153.00 / $21,463.00 / $29,047.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $18,350.86 / $18,350.86
Wellcare
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$1,639.26 / $2,956.24 / $5,796.52
Wellcare
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$204.91 / $369.53 / $724.57