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Minnesota 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
$1,096.48 / $1,096.48 / $6,760.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,148.15 / $1,778.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $5,623.41 / $12,022.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $2,630.27 / $4,073.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $3,981.07 / $9,549.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $3,235.94 / $4,786.30
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $3,801.89 / $7,413.10
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $2,691.53 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $2,041.74 / $3,981.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $2,041.74 / $6,025.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $5,495.41 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,949.84 / $3,890.45