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Oregon rates for HCPCS 27122

Acetabuloplasty Resection Femoral Head

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,422.91 / $7,920.26 / $20,400.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$842.00 / $842.00 / $842.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,042.97 / $2,395.11 / $2,870.89
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,521.83 / $1,994.54 / $2,669.85
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,535.87 / $2,074.39 / $2,231.77
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,521.83 / $2,065.67 / $2,836.02
Providence
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$357.77 / $357.77 / $357.77
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,472.14 / $39,875.19 / $51,188.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $18,628.00 / $26,255.00