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Alaska rates for HCPCS 27422

Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell, Goldwaite type procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $9,772.37 / $20,892.96
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $1,174.90 / $5,011.87
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $1,148.15 / $3,981.07