go back

West Virginia rates for HCPCS 27428

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,099.45 / $1,400.00 / $2,300.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,186.70 / $1,325.52 / $1,444.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,269.96 / $1,269.96 / $1,269.96