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Maryland 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
$0.99 / $8,676.62 / $8,676.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$849.94 / $971.57 / $1,533.68
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,080.93 / $1,080.93 / $1,370.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.00 / $507.00 / $641.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.07 / $1,287.08 / $2,205.75
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,015.06 / $1,311.14 / $1,709.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,003.00 / $1,003.00 / $2,156.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$744.35 / $1,133.70 / $2,159.05
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$906.48 / $1,168.84 / $1,435.08