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Tennessee rates for HCPCS 27120

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,256.00 / $3,329.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,114.56 / $1,336.06 / $2,082.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,430.00 / $7,138.00 / $13,623.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,235.56 / $1,688.59 / $2,737.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,333.16 / $1,832.04 / $2,701.29
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $10,389.68 / $10,608.92
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,350.40 / $9,545.36 / $11,145.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,964.00 / $8,273.00 / $12,407.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,152.20 / $1,489.05 / $2,653.04