go back

Ohio rates for HCPCS 27122

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,592.98 / $6,251.00 / $11,581.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,405.00 / $29,300.94 / $53,822.78
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$979.52 / $1,257.13 / $1,669.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,250.74 / $1,250.74 / $1,250.74
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$124.19 / $124.19 / $124.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,070.00 / $8,440.00 / $13,382.00