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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
$1,288.25 / $2,754.23 / $8,912.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,709.64 / $13,489.63 / $21,877.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $891.25 / $891.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $2,630.27 / $18,620.87
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
$3,235.94 / $11,748.98 / $20,892.96