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Maine 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
Professional
Modifier
Low / Median / High Price
$865.55 / $1,011.18 / $1,201.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,744.96 / $31,420.90 / $36,545.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,010.59 / $1,307.83 / $1,848.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$986.32 / $1,441.31 / $2,079.63
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,206.92 / $1,396.41 / $2,142.16
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$865.55 / $1,082.30 / $1,533.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$902.95 / $1,309.28 / $1,921.05