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Pennsylvania rates for HCPCS 27409

Rpr 1 Torn Ligm&/Capsl Kne Coltrl&Cruciate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,007.29 / $3,830.00 / $8,240.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$872.24 / $980.19 / $1,421.91
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,639.91 / $11,851.00 / $26,582.19
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$972.40 / $1,044.06 / $1,770.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,098.09 / $1,098.09 / $1,098.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$914.29 / $1,171.32 / $1,957.32
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.60 / $1,557.29 / $1,983.96
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.00 / $4,597.00 / $8,404.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$872.24 / $1,081.84 / $4,831.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,189.40 / $1,189.40 / $1,976.90
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,098.09 / $1,098.09 / $1,098.09
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$914.29 / $1,204.57 / $2,006.15
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$947.70 / $947.70 / $1,240.74
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$917.54 / $953.42 / $1,240.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,843.00 / $3,742.00 / $7,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$920.93 / $1,173.50 / $1,804.08