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Pennsylvania 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
$514.29 / $2,070.00 / $7,197.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.44 / $461.42 / $747.39
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$719.99 / $719.99 / $719.99
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,083.51 / $1,395.00 / $12,759.45
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.25 / $595.82 / $856.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$773.83 / $773.83 / $773.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.56 / $560.13 / $927.41
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$590.01 / $796.02 / $1,019.10
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.41 / $509.94 / $520.86
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$641.00 / $2,326.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.68 / $503.15 / $1,059.46
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$534.10 / $534.10 / $1,022.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$773.83 / $773.83 / $773.83
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.48 / $568.34 / $956.51
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$392.89 / $445.37 / $478.57
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.90 / $466.95 / $512.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.00 / $650.00 / $3,742.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.51 / $571.60 / $892.02