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West Virginia rates for HCPCS 27120

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,284.45 / $1,400.00 / $2,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,259.77 / $1,348.41 / $1,943.49
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,376.33 / $1,542.40 / $1,680.47
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$766.50 / $1,493.75 / $1,493.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,471.08 / $1,471.08 / $1,471.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,253.97 / $1,867.18 / $3,760.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.16 / $1,449.87 / $2,066.98