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Texas 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
$1,122.02 / $4,365.16 / $15,848.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $9,549.93 / $18,197.01
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $7,943.28 / $7,943.28
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,952.62 / $33,884.42 / $33,884.42
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $1,071.52 / $5,754.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $954.99 / $1,621.81
Providence
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$125.89 / $125.89 / $125.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $6,918.31 / $14,125.38