go back

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
$5,754.40 / $8,511.38 / $18,197.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,943.28 / $10,232.93 / $19,952.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,495.41 / $5,495.41 / $5,495.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $1,230.27 / $8,912.51
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$190.55 / $1,905.46 / $1,905.46
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,698.24 / $2,290.87
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,495.41 / $5,495.41 / $5,495.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,309.57 / $7,413.10 / $9,549.93