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Washington rates for HCPCS 27428

Ligamentous Reconstruction Knee Intra-Articular

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,506.40 / $5,116.62 / $21,917.86
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,500.00 / $37,275.87 / $50,401.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$883.20 / $1,075.31 / $15,711.66
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,181.00 / $2,400.56 / $13,778.60
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,570.45 / $2,141.32 / $2,267.28
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,502.60 / $1,546.49 / $17,043.99
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,749.60 / $37,275.87 / $71,345.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $5,547.00 / $19,271.00