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New York rates for HCPCS 27386

Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft

Facilitymedian $5,888 · 10th–90th $1,230–$14,1250%5%10th90th$5,888$200.0$1.0K$5.0K$20.0K

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
$1,096.48 / $4,677.35 / $10,964.78
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
$1,202.26 / $1,995.26 / $8,912.51
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,445.44 / $1,862.09 / $50,118.72
Cigna
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$144.54 / $144.54 / $144.54
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$933.25 / $1,258.93 / $3,162.28
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$812.83 / $812.83 / $812.83
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,585.78 / $7,585.78 / $7,585.78
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$870.96 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,398.83 / $4,897.79 / $11,481.54
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$707.95 / $1,023.29 / $3,801.89