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Alaska rates for HCPCS 27258

Open treatment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of femoral head in acetabulum (including tenotomy, etc);

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $10,000.00 / $16,982.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,412.54 / $3,311.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,754.23 / $3,630.78 / $4,786.30
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $1,737.80 / $7,585.78
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,570.40 / $3,801.89 / $5,623.41
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,548.13 / $4,570.88 / $6,456.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,698.24 / $6,025.60
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $1,513.56 / $3,630.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $5,011.87 / $6,456.54