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Alabama rates for HCPCS 27138

Revision of total hip arthroplasty; femoral component only, with or without allograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $1,778.28 / $2,398.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,882.50 / $15,135.61 / $20,417.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $14,125.38 / $14,125.38
Cigna
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$3,090.30 / $3,090.30 / $3,090.30
Cigna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$2,089.30 / $2,089.30 / $2,089.30
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$257.04 / $257.04 / $257.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $6,606.93 / $12,589.25