go back

Michigan 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
$1,424.28 / $4,933.00 / $21,282.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,001.55 / $1,415.06 / $1,847.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,199.68 / $6,102.91 / $8,268.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.45 / $1,684.17 / $2,728.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$814.41 / $1,316.85 / $2,356.09
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,146.53 / $4,933.00 / $21,282.60
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,110.96 / $1,269.67 / $1,971.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.57 / $754.67 / $1,265.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,500.00 / $7,780.00 / $9,202.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,119.33 / $1,337.52 / $1,830.77