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Washington rates for HCPCS 27120

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,733.00 / $5,132.00 / $22,024.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,200.83 / $1,649.04 / $3,668.23
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,788.24 / $35,815.01 / $70,064.83
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,840.68 / $3,009.10 / $11,391.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$765.00 / $870.49 / $870.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,353.60 / $2,326.36 / $3,939.45
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,247.05 / $2,543.26 / $3,577.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,236.90 / $2,491.36 / $3,286.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.38 / $721.85 / $2,518.90
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,806.70 / $2,498.42 / $2,621.71
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,744.05 / $1,744.05 / $1,788.24
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,997.14 / $2,849.00 / $3,549.48
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,977.90 / $36,627.79 / $70,064.83
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.70 / $2,545.33 / $3,388.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $5,547.00 / $19,271.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,577.53 / $2,140.92 / $3,718.45
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,088.26 / $1,088.26 / $1,398.87