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Tennessee 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
$1,821.00 / $3,939.75 / $7,602.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$675.08 / $1,468.39 / $2,012.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,430.00 / $7,178.00 / $13,734.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $19,057.39 / $19,447.78
Lucent Health
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$3,069.67 / $6,016.39 / $6,016.39
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$383.71 / $752.05 / $752.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,052.00 / $13,197.00 / $29,870.00