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Iowa rates for HCPCS 27535

Open treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed

Facilitymedian $3,802 · 10th–90th $1,413$11,7490%5%10%10th90th$3,802Professionalmedian $1,660 · 10th–90th $851$3,0900%10%20%10th90th$1,660$200.0$500.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$933.25 / $3,981.07 / $7,943.28
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $1,258.93 / $3,235.94
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,380.38 / $1,995.26 / $8,128.31
Medica
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$416.87 / $416.87 / $416.87
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,819.70 / $2,041.74 / $2,398.83
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,413.10 / $11,481.54 / $19,054.61