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Maryland 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
$7,652.81 / $7,652.81 / $7,652.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,001.55 / $1,155.24 / $2,969.19
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,272.39 / $1,272.39 / $1,540.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.00 / $507.00 / $641.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,043.09 / $1,483.87 / $2,538.69
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,169.24 / $1,513.93 / $1,969.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$643.00 / $1,185.00 / $2,229.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$876.67 / $1,254.50 / $2,174.12
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,060.66 / $1,349.63 / $1,657.17