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West Virginia rates for HCPCS 27122

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,090.73 / $1,400.00 / $2,600.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,169.64 / $1,309.68 / $1,426.92
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