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North Carolina 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
$1,087.50 / $5,187.95 / $10,561.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,087.50 / $1,148.64 / $2,152.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,271.18 / $1,740.58 / $2,932.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.10 / $606.10 / $606.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,222.58 / $1,564.90 / $2,794.37
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,087.50 / $1,464.00 / $2,227.34
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,362.69 / $1,383.00 / $1,433.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $1,573.54 / $2,931.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,248.00 / $9,541.00 / $14,589.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.54 / $1,332.25 / $2,893.41
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $8,916.04 / $8,916.04
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,741.03 / $8,741.03 / $9,562.50