go back

South Carolina 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
$1,737.80 / $10,232.93 / $19,952.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $20,892.96 / $35,481.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $891.25 / $2,570.40
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
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,630.27 / $2,630.27 / $3,467.37
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $2,089.30 / $3,548.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,317.64 / $22,387.21 / $41,686.94