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Oklahoma 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
$1,392.00 / $4,930.00 / $16,400.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$769.70 / $769.70 / $769.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,132.98 / $14,509.07 / $22,924.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $900.00 / $900.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,456.12 / $2,107.89 / $17,345.00
Medica
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$2,956.24 / $5,369.79 / $5,369.79
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$369.53 / $671.22 / $671.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,228.00 / $10,642.00 / $20,423.23