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Michigan rates for HCPCS 27265

Closed treatment of post hip arthroplasty dislocation; without anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.97 / $557.37 / $4,933.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$268.37 / $268.37 / $278.69
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$402.55 / $402.55 / $418.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$560.25 / $657.57 / $890.91
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.68 / $557.37 / $4,933.00
Health Alliance Plan
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$268.37 / $268.37 / $268.37
Health Alliance Plan
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$402.55 / $402.55 / $402.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $1,418.00 / $2,029.00