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Washington 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
$2,754.23 / $7,943.28 / $22,908.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $758.58 / $870.96
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $2,951.21 / $23,442.29
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $2,818.38 / $2,951.21
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $1,995.26 / $7,762.47
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,915.35 / $36,307.81 / $70,794.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,309.57 / $38,018.94 / $72,443.60