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Michigan 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
$870.96 / $5,623.41 / $6,918.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $1,698.24 / $1,698.24
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $4,897.79 / $6,918.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $7,413.10 / $14,454.40