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Virginia rates for HCPCS 27405

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,184.43 / $4,771.00 / $9,347.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,823.00 / $12,004.00 / $15,528.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$772.24 / $772.24 / $776.00
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$76.84 / $76.84 / $76.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$652.72 / $835.48 / $987.22
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.27 / $897.30 / $1,334.23
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$115.04 / $170.82 / $244.90
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$668.15 / $867.30 / $2,943.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,423.00 / $11,475.00 / $21,639.00