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Montana rates for HCPCS 27120

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,383.89 / $1,812.08 / $6,779.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,057.46 / $2,057.46 / $2,057.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,081.21 / $2,057.46 / $2,188.32
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.85 / $1,399.54 / $2,057.46
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,245.48 / $2,057.46 / $2,695.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,735.03 / $2,140.92 / $2,403.84