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Michigan rates for HCPCS 27120

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,663.56 / $4,933.00 / $6,906.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,169.07 / $1,649.04 / $1,727.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,066.85 / $7,120.69 / $9,647.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.61 / $2,061.19 / $3,386.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$949.76 / $1,537.32 / $2,749.78
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,338.03 / $4,933.00 / $8,060.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,296.42 / $1,471.83 / $2,158.21
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.33 / $877.74 / $1,480.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,635.00 / $10,192.00 / $12,767.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,330.60 / $1,568.29 / $2,107.44