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Massachusetts 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
$2,691.53 / $4,677.35 / $14,454.40
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $6,309.57 / $33,884.42
AllWays Health Partners
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $1,513.56 / $7,762.47
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $6,165.95 / $13,182.57
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $4,466.84 / $16,982.44
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $6,309.57 / $33,884.42
Mass General Brigham
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $6,309.57 / $13,803.84