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Tennessee 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 / $3,715.35 / $7,413.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $8,128.31 / $13,489.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $18,197.01 / $18,197.01
Lucent Health
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$14,791.08 / $14,791.08 / $14,791.08
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,819.70 / $1,819.70 / $1,819.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $11,748.98 / $25,703.96