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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
$1,949.84 / $3,630.78 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,258.93 / $2,884.03
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $3,715.35 / $9,332.54
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,698.24 / $8,709.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $2,238.72 / $3,019.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,698.24 / $3,090.30
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $1,737.80 / $8,511.38
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,412.54 / $1,995.26
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $5,248.07 / $11,220.18
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,905.46 / $2,884.03
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $2,344.23 / $2,344.23
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $3,715.35 / $9,332.54
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,698.24 / $8,709.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $5,248.07 / $10,715.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,698.24 / $3,162.28