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South Carolina rates for HCPCS 27122

Acetabuloplasty Resection Femoral Head

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,260.60 / $9,062.00 / $18,276.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,401.93 / $21,277.44 / $33,889.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$890.00 / $890.00 / $1,250.74
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$124.19 / $124.19 / $124.19
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,219.82 / $1,512.73 / $2,421.92
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$182.14 / $214.76 / $323.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $19,526.00 / $24,161.00