go back

Louisiana 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
$756.00 / $2,418.00 / $4,392.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,013.44 / $1,449.15 / $1,958.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,865.56 / $4,895.38 / $6,881.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,198.15 / $1,446.87 / $2,010.29
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $993.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $400.00 / $400.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,074.98 / $1,510.92 / $2,095.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.00 / $3,474.00 / $9,160.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$984.71 / $1,258.72 / $2,329.35