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Michigan rates for HCPCS 27122

Acetabuloplasty Resection Femoral Head

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.87 / $4,933.00 / $5,757.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,157.39 / $6,053.26 / $8,201.20
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,139.95 / $4,933.00 / $5,757.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,635.00 / $10,192.00 / $12,767.00