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Virginia rates for HCPCS 27428

Ligamentous Reconstruction Knee Intra-Articular

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,538.00 / $5,282.00 / $9,347.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,861.00 / $27,843.00 / $30,195.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.00 / $776.00 / $1,269.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,072.23 / $1,372.45 / $1,619.59
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.99 / $1,471.60 / $2,187.31
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,044.30 / $1,416.31 / $4,860.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,408.00 / $13,296.00 / $26,537.00