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Minnesota rates for HCPCS 27122

Acetabuloplasty Resection Femoral Head

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,086.93 / $1,086.93 / $6,781.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.76 / $5,014.18 / $9,347.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,638.30 / $3,743.36 / $9,005.16
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$124.19 / $124.19 / $124.19
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.44 / $3,422.33 / $7,090.68
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,124.30 / $1,860.59 / $3,197.47
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$280.37 / $280.37 / $280.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,457.00 / $9,370.00 / $12,774.00