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Missouri rates for HCPCS 27428

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.00 / $5,389.00 / $13,177.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,224.00 / $4,517.00 / $10,766.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,574.00 / $14,841.00 / $20,252.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,037.16 / $1,736.61 / $33,500.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,426.00 / $4,432.00 / $12,989.00