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West Virginia 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
$1,400.00 / $1,512.11 / $3,050.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$756.06 / $756.06 / $1,170.71
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,613.68 / $1,813.25 / $1,975.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,723.69 / $1,723.69 / $1,723.69
Cigna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$1,362.43 / $1,362.43 / $1,362.43
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$170.30 / $170.30 / $170.30