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Indiana rates for HCPCS 27428

Ligamentous reconstruction (augmentation), knee; intra-articular (open)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,036.16 / $4,846.00 / $14,063.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,591.00 / $9,015.00 / $43,260.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,032.92 / $1,417.74 / $2,126.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,889.70 / $8,889.70 / $10,537.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,058.00 / $12,330.00 / $17,416.00