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Arizona 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
$1,671.00 / $4,873.00 / $9,618.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,310.70 / $4,903.56 / $8,070.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$719.57 / $977.53 / $7,167.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$191.36 / $191.36 / $1,887.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,759.00 / $6,477.00 / $9,010.00