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Rhode Island rates for HCPCS 27538

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

Facilitymedian $1,514 · 10th–90th $513$3,9810%20%10th90th$1,514Professionalmedian $457 · 10th–90th $407$1,3180%10%20%10th90th$457$500.0$1.0K$2.0K$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,513.56 / $1,548.82 / $3,981.07
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $457.09 / $1,318.26
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $512.86 / $933.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $676.08 / $977.24
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$436.52 / $1,230.27 / $5,128.61
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $575.44 / $1,023.29