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Indiana rates for HCPCS 27120

Acetabuloplasty; (eg, Whitman, Colonna, Haygroves, or cup type)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.83 / $2,318.00 / $16,042.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,092.30 / $1,215.71 / $1,635.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,800.00 / $33,765.49 / $49,433.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,106.68 / $1,709.00 / $2,337.60
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,192.18 / $1,636.32 / $2,454.48
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,168.80 / $1,402.56 / $2,103.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,268.33 / $1,622.19 / $2,688.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,058.00 / $12,330.00 / $17,416.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,054.19 / $1,402.56 / $2,507.73