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Ohio rates for HCPCS 27428

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,613.97 / $4,947.00 / $11,581.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,134.00 / $8,125.00 / $36,529.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$994.27 / $1,276.07 / $1,694.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,269.96 / $1,269.96 / $1,269.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,070.00 / $8,440.00 / $13,382.00