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Knee Intercondylar Fracture Treatment, Closed

Florida rates for HCPCS 27538

This treatment addresses a fracture at the top of the shinbone where knee ligaments attach, sometimes called a tibial spine fracture. The break is treated without opening the knee, using a cast, brace, or gentle manipulation of the joint from outside the skin to allow the bone fragment to heal in position. It is most common after a twisting injury to the knee, especially in children and teenagers.

Rates data updated July 2026.

Facilitymedian $2,884 · 10th–90th $550$10,4710%5%10th90th$2,884Professionalmedian $479 · 10th–90th $380$7760%10%20%10th90th$479$50.0$200.0$1.0K$5.0K

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
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$3,311.31
Typical High
$10,964.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$478.63
Typical High
$776.25
AvMed
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$1,584.89
Typical High
$11,220.18
AvMed
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$489.78
Typical High
$562.34
Cigna
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$131.83
Typical High
$776.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$588.84
Typical High
$954.99
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$2,511.89
Typical High
$4,365.16
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$426.58
Typical High
$549.54
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$389.05
Typical High
$794.33
United
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$1,318.26
Typical High
$3,890.45
United
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$478.63
Typical High
$933.25
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$389.05
Typical High
$575.44