go back

North Carolina rates for HCPCS 27430

Quadricepsplasty (eg, Bennett or Thompson type)

Facilitymedian $1,660 · 10th–90th $759–$10,4710%10%10th90th$1,660Professionalmedian $1,230 · 10th–90th $1,230–$1,7380%20%40%90th$1,230$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,023.29 / $2,754.23 / $10,471.29
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$741.31 / $741.31 / $6,309.57
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,230.27 / $1,230.27 / $1,737.80
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$724.44 / $1,000.00 / $1,548.82
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,370.32 / $11,748.98 / $19,498.45
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,892.96 / $20,892.96 / $33,884.42
Wellcare
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$2,089.30 / $2,089.30 / $2,089.30