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Massachusetts rates for HCPCS 27535

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

Facilitymedian $3,467 · 10th–90th $1,230–$10,2330%5%10th90th$3,467$100.0$500.0$2.0K$10.0K$50.0K

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
$1,778.28 / $3,630.78 / $10,232.93
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,995.26 / $3,981.07 / $16,595.87
AllWays Health Partners
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$2,818.38 / $2,818.38 / $2,818.38
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$758.58 / $1,148.15 / $3,630.78
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,019.95 / $6,165.95 / $13,182.57
Health New England
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,890.45 / $12,022.64 / $15,135.61
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,995.26 / $3,981.07 / $16,595.87
Mass General Brigham
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$2,818.38 / $2,818.38 / $2,818.38
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,288.25 / $5,370.32 / $13,182.57