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Idaho 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
$3,090.30 / $5,495.41 / $21,877.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,495.41 / $8,912.51 / $23,442.29
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $2,511.89 / $4,265.80
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,791.08 / $18,620.87 / $24,547.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,786.30 / $12,022.64 / $45,708.82