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Hawaii rates for HCPCS 27407

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $5,495.41 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $794.33 / $1,122.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $912.01 / $1,122.02
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,096.48 / $17,378.01
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $912.01 / $1,148.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $3,019.95 / $3,019.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $933.25 / $1,288.25
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $4,073.80 / $7,943.28