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Virginia rates for HCPCS 27122

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,240.47 / $5,412.00 / $11,425.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,142.00 / $37,782.72 / $52,623.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$640.00 / $640.00 / $1,250.74
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$124.19 / $124.19 / $124.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,052.61 / $1,347.35 / $1,586.51
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,147.82 / $1,458.79 / $2,148.83
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$182.14 / $214.76 / $400.09
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,026.21 / $1,403.14 / $4,703.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,408.00 / $13,296.00 / $26,537.00