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Michigan rates for HCPCS 27428

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,429.88 / $1,484.88 / $4,933.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,396.40 / $14,549.73 / $19,712.58
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.01 / $1,484.88 / $5,475.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,635.00 / $10,192.00 / $12,767.00