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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
$4,897.79 / $4,897.79 / $21,379.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,148.15 / $2,089.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $2,511.89 / $2,511.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $1,819.70 / $2,511.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,318.26 / $3,162.28
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $4,897.79 / $13,182.57
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,258.93 / $1,819.70
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,318.26 / $2,041.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $6,606.93 / $10,471.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,318.26 / $1,737.80