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West Virginia 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
$1,098.65 / $1,400.00 / $2,300.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,098.65 / $1,157.40 / $1,667.80
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,179.19 / $1,320.24 / $1,438.41
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$655.98 / $1,278.58 / $1,278.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,260.32 / $1,260.32 / $1,260.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,074.98 / $1,598.24 / $3,200.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$860.36 / $1,343.13 / $1,778.07