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New York rates for HCPCS 27538

Closed treatment of intercondylar spine(s) and/or tuberosity fracture(s) of knee, with or without manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$536.73 / $2,626.00 / $7,343.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.45 / $482.90 / $942.47
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$719.99 / $719.99 / $719.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,689.00 / $3,373.00 / $4,707.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.13 / $483.84 / $1,118.39
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$636.99 / $1,254.00 / $4,050.00
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$636.99 / $636.99 / $686.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$773.83 / $773.83 / $773.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.80 / $693.41 / $1,735.76
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $610.00 / $1,231.07
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$542.00 / $769.03 / $1,134.65
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$465.44 / $465.44 / $465.44
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.82 / $504.33 / $1,046.64
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$620.86 / $673.32 / $673.32
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $773.83
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.98 / $707.21 / $1,706.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$964.00 / $2,826.00 / $4,851.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.53 / $605.76 / $1,494.42
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$551.47 / $551.47 / $1,902.22
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.46 / $648.64 / $1,167.67