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Oklahoma 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
$1,346.00 / $4,195.00 / $13,200.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$928.42 / $1,167.42 / $1,185.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,873.50 / $12,508.22 / $19,762.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,067.84 / $1,435.80 / $1,754.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $900.00 / $900.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,151.92 / $1,449.85 / $1,809.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,105.88 / $1,551.54 / $6,228.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$984.71 / $1,272.94 / $8,741.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,157.00 / $4,054.00 / $7,077.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$926.78 / $1,158.48 / $1,645.87