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Montana 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
$97.72 / $4,677.35 / $17,378.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,773.51 / $81,283.05 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,174.90 / $1,174.90
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $1,288.25 / $1,548.82
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $1,071.52 / $1,548.82