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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
$1,299.28 / $3,939.75 / $7,940.24
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$649.64 / $1,413.08 / $1,936.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,430.00 / $7,133.00 / $13,734.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $18,350.86 / $18,729.37
Lucent Health
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$2,956.24 / $5,796.52 / $5,796.52
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$369.53 / $724.57 / $724.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,052.00 / $10,986.00 / $29,870.00