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Maine 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
Professional
Modifier
Low / Median / High Price
$928.42 / $1,160.89 / $1,400.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,238.91 / $14,271.05 / $16,598.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,164.83 / $1,507.44 / $2,134.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,136.14 / $1,680.37 / $2,393.11
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,394.06 / $1,612.93 / $2,474.32
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$928.42 / $1,282.90 / $1,400.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,066.48 / $1,509.21 / $2,212.81