go back

Indiana rates for HCPCS 27405

Rpr Primary Torn Ligm&/Capsule Knee Collateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.86 / $4,846.00 / $14,063.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,146.00 / $9,219.00 / $32,252.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$628.92 / $863.24 / $1,294.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,705.12 / $4,705.12 / $5,577.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,472.00 / $10,113.00 / $15,750.00