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Pennsylvania 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
$1,047.13 / $6,760.83 / $14,791.08
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,549.93 / $10,000.00 / $57,543.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $1,258.93 / $1,258.93
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$125.89 / $125.89 / $125.89
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,890.45 / $15,135.61 / $32,359.37
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $6,165.95 / $12,882.50
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,047.13 / $1,513.56
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $912.01 / $933.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $4,466.84 / $22,387.21