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Knee Intercondylar Fracture Treatment, Closed

Hawaii 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 $871$2,8840%50%10th$2,884Professionalmedian $468 · 10th–90th $427$6920%10%20%10th90th$468$50.0$100.0$200.0$500.0$1.0K$2.0K

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
$870.96
Median
$2,884.03
Typical High
$2,884.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$467.74
Typical High
$501.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$575.44
Typical High
$776.25
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$630.96
Typical High
$851.14
United
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,122.02
United
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$549.54
Typical High
$724.44
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$524.81
Typical High
$691.83