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New York rates for HCPCS 27122

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,393.31 / $5,157.00 / $11,396.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,283.00 / $5,434.00 / $12,228.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,556.87 / $1,556.87 / $37,499.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,250.74 / $1,250.74 / $1,250.74
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$124.19 / $124.19 / $124.19
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $1,566.00 / $2,940.89
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,033.08 / $1,033.08 / $1,033.08
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $1,250.74
MVP Health Care
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$124.19 / $124.19 / $124.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,341.00 / $6,700.00 / $16,782.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,319.49 / $1,319.49 / $5,009.53