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Nebraska 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
$4,241.22 / $11,100.08 / $24,068.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,921.80 / $10,419.34 / $20,154.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,266.26 / $5,266.26 / $5,266.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$678.34 / $1,221.01 / $8,816.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$191.36 / $1,887.52 / $1,887.52
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,367.43 / $1,932.00 / $6,616.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,178.00 / $7,441.00 / $8,816.00