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Open Release Of The Outer Kneecap Tissue

Wisconsin rates for HCPCS 27425

Cuts the tight fibrous tissue along the outer edge of the kneecap through an incision, so the kneecap can sit and track properly in its groove. It is done for pain or a kneecap that pulls or tilts towards the outer side of the knee.

Facilitymedian $8,128 · 10th–90th $1,413$12,5890%10%10th90th$8,128Professionalmedian $1,072 · 10th–90th $692$1,5490%10%20%10th90th$1,072$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$954.99
Typical High
$14,454.40
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,317.64
Typical High
$13,182.57
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,412.54
Typical High
$2,344.23
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$954.99
Typical High
$10,232.93
Medica
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$1,174.90
Typical High
$11,481.54
Network Health
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$8,511.38
Typical High
$9,120.11
Quartz
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,071.52
Typical High
$1,548.82
Quartz
Setting
Facility
Modifier
Global
Typical Low
$6,025.60
Median
$8,912.51
Typical High
$8,912.51
Security Health
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$1,479.11
United
Setting
Facility
Modifier
Global
Typical Low
$6,309.57
Median
$10,000.00
Typical High
$12,022.64