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Indiana 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
$1,029.41 / $2,318.00 / $14,063.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$930.86 / $1,040.45 / $1,399.88
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,504.22 / $1,504.22 / $1,504.22
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,800.00 / $10,389.62 / $15,154.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$952.62 / $1,444.50 / $1,993.41
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,022.87 / $1,403.93 / $2,105.90
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,002.81 / $1,253.51 / $1,805.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,114.19 / $1,395.26 / $2,306.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,932.00 / $8,348.00 / $12,569.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$901.78 / $1,203.36 / $2,143.19