go back

South 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
$3,981.07 / $11,481.54 / $19,952.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $20,892.96 / $35,481.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $891.25 / $2,511.89
Cigna
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$3,019.95 / $3,019.95 / $3,019.95
Cigna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$251.19 / $251.19 / $251.19
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 / $1,995.26 / $3,548.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,317.64 / $22,387.21 / $41,686.94