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New York rates for HCPCS 27385

Suture of quadriceps or hamstring muscle rupture; primary

Facilitymedian $6,026 · 10th–90th $1,000–$14,1250%10%10th90th$6,026$100.0$500.0$2.0K$10.0K$50.0K$200.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$831.76 / $5,495.41 / $11,220.18
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$10,471.29 / $10,471.29 / $10,471.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,897.79 / $11,220.18 / $18,620.87
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$851.14 / $1,995.26 / $8,912.51
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,862.09 / $50,118.72
Cigna
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$1,230.27 / $1,230.27 / $1,230.27
Cigna
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$102.33 / $102.33 / $102.33
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$691.83 / $1,000.00 / $2,290.87
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $575.44 / $575.44
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,949.84 / $7,244.36 / $13,803.84
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$660.69 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,344.23 / $4,897.79 / $11,481.54
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $741.31 / $2,951.21