go back

North Carolina rates for HCPCS 27122

Acetabuloplasty Resection Femoral Head

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,079.68 / $1,721.97 / $12,615.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.10 / $606.10 / $606.10
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,079.68 / $1,358.10 / $2,229.96
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$182.14 / $190.13 / $341.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,015.00 / $15,545.00 / $22,780.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $8,841.98 / $8,841.98
Wellcare
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$154.96 / $280.37 / $552.33