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Pennsylvania rates for HCPCS 27405

Repair, primary, torn ligament and/or capsule, knee; collateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $4,341.00 / $8,802.15
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,639.91 / $11,851.00 / $26,582.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$772.24 / $772.24 / $772.24
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$76.84 / $76.84 / $76.84
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,765.45 / $15,001.37 / $23,548.31
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.00 / $4,831.00 / $8,802.15
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$772.24 / $772.24 / $772.24
Priority Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$76.84 / $76.84 / $76.84
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$663.97 / $663.97 / $803.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,332.00 / $3,879.00 / $7,508.00