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Montana 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
$1,185.36 / $1,553.76 / $5,801.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,765.11 / $1,765.11 / $1,765.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,765.11 / $1,765.11 / $1,765.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$927.93 / $1,765.11 / $1,866.47
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$873.29 / $1,200.77 / $1,765.11
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,067.55 / $1,765.11 / $2,310.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,508.70 / $1,829.70 / $2,054.40