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Oklahoma rates for HCPCS 27120

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,392.00 / $4,856.00 / $14,100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,084.48 / $1,363.41 / $1,383.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,248.09 / $1,678.16 / $2,008.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $900.00 / $900.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,347.49 / $1,694.40 / $2,112.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,291.34 / $1,819.58 / $10,608.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,152.20 / $1,489.79 / $9,545.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,851.00 / $7,074.00 / $14,139.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,084.42 / $1,355.53 / $1,919.12