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Minnesota rates for HCPCS 27122

Acetabuloplasty; resection, femoral head (eg, Girdlestone procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,096.48 / $7,079.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $5,623.41 / $12,022.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $3,981.07 / $9,332.54
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$186.21 / $186.21 / $186.21
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $3,801.89 / $7,413.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $2,041.74 / $5,888.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $6,309.57 / $13,182.57