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Missouri 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
$1,547.00 / $5,389.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$939.83 / $1,124.23 / $2,186.73
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,224.00 / $4,449.00 / $10,043.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,085.09 / $1,324.27 / $2,111.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,066.68 / $1,504.62 / $2,432.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$929.94 / $1,573.92 / $4,114.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,093.96 / $1,559.80 / $8,741.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,473.00 / $3,502.00 / $6,944.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,042.63 / $1,448.10 / $2,393.80