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Texas rates for HCPCS 27122

Acetabuloplasty Resection Femoral Head

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$969.00 / $3,682.00 / $12,826.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,144.59 / $2,128.96 / $24,088.33
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $985.99 / $1,007.21
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $8,841.98
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$249.55 / $507.73 / $552.33
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,073.74 / $1,400.92 / $2,227.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,073.74 / $1,403.10 / $2,261.73
Providence
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$124.19 / $124.19 / $357.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,600.00 / $7,123.00 / $16,000.00