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Montana rates for HCPCS 27122

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

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,751.44 / $1,751.44 / $1,751.44
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$866.06 / $1,190.83 / $1,751.44