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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
$1,659.59 / $5,495.41 / $13,803.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $6,456.54 / $9,332.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $602.56 / $602.56
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $2,511.89 / $3,388.44
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $1,949.84 / $3,090.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,332.54 / $21,379.62 / $28,840.32
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $18,197.01 / $18,197.01
Wellcare
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$14,791.08 / $14,791.08 / $14,791.08
Wellcare
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,819.70 / $1,819.70 / $1,819.70