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North Carolina rates for HCPCS 27435

Capsulotomy, posterior capsular release, knee

Facilitymedian $1,660 · 10th–90th $832–$10,4710%5%10%10th90th$1,660Professionalmedian $1,259 · 10th–90th $1,259–$1,8620%20%40%90th$1,259$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
$1,096.48 / $3,019.95 / $10,471.29
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,511.89 / $2,511.89 / $2,511.89
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$741.31 / $741.31 / $2,818.38
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,258.93 / $1,258.93 / $1,862.09
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$794.33 / $1,047.13 / $1,584.89
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,570.40 / $8,912.51 / $14,791.08
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,332.54 / $9,332.54 / $33,884.42
Wellcare
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$933.25 / $933.25 / $933.25