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Georgia 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
$1,548.70 / $5,045.00 / $6,915.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,001.55 / $1,206.23 / $2,365.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,282.27 / $4,363.80 / $9,836.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,106.23 / $1,613.33 / $2,876.69
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,940.88 / $2,330.21 / $3,169.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $1,260.32 / $2,500.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.99 / $1,763.67 / $2,846.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,216.84 / $1,747.95 / $2,781.76
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,600.32 / $1,912.44 / $2,046.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,519.00 / $6,351.00 / $8,836.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$984.71 / $1,587.12 / $2,527.56