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Michigan 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
$1,949.80 / $4,933.00 / $5,757.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$974.90 / $974.90 / $1,012.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,186.20 / $8,434.48 / $11,427.39
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,599.18 / $4,933.00 / $5,757.00
Health Alliance Plan
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$974.90 / $974.90 / $974.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,356.00 / $11,464.00 / $17,095.00