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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
$1,288.25 / $3,890.45 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,122.02 / $2,137.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $11,481.54 / $19,054.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,348.96 / $1,584.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $891.25 / $891.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,479.11 / $1,819.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,659.59 / $6,760.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,288.25 / $8,709.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $4,265.80 / $8,317.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,148.15 / $1,548.82