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Missouri rates for HCPCS 27122

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,704.00 / $5,144.00 / $9,823.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,224.00 / $4,490.00 / $19,155.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$927.03 / $1,574.27 / $5,187.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$280.37 / $280.37 / $507.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,209.00 / $4,432.00 / $12,989.00