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Massachusetts 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
$1,249.00 / $2,747.00 / $5,039.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,001.55 / $1,141.30 / $1,845.40
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,220.33 / $4,287.00 / $7,608.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,128.43 / $1,884.83 / $8,741.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,450.90 / $2,151.29 / $2,914.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,136.14 / $1,828.29 / $3,198.47
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $1,794.00 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,273.00 / $1,542.02 / $2,104.96
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,385.27 / $2,712.36 / $3,531.05
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $4,983.00 / $9,401.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,219.65 / $2,038.28 / $8,741.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $4,983.00 / $8,810.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,205.57 / $1,801.02 / $3,770.41