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Alaska rates for HCPCS 27455

Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu varus [bowleg] or genu valgus [knock-knee]); before epiphyseal closure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,753.65 / $9,813.00 / $17,617.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$896.45 / $4,670.29 / $4,670.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,348.54 / $3,125.13 / $4,128.85
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$909.34 / $4,670.29 / $6,538.41
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,367.78 / $2,841.33 / $5,768.16
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,373.75 / $4,730.00 / $5,816.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$909.34 / $4,670.29 / $6,538.41
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,425.58 / $4,675.00 / $5,975.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,223.53 / $3,771.66 / $5,500.22