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Pennsylvania rates for HCPCS 27428

Ligamentous Reconstruction Knee Intra-Articular

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,166.30 / $3,830.00 / $8,240.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,639.91 / $25,716.00 / $39,341.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,269.96 / $1,269.96 / $1,269.96
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,507.40 / $34,581.18 / $55,060.83
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,278.28 / $4,304.00 / $8,427.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,269.96 / $1,269.96 / $1,269.96
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,092.94 / $1,092.94 / $1,141.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,468.00 / $4,563.00 / $9,631.00