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Vermont rates for HCPCS 27538

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

Professionalmedian $575 · 10th–90th $389–$1,4450%10%10th90th$575$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
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $562.34 / $1,445.44
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$691.83 / $691.83 / $812.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $645.65 / $954.99
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $645.65 / $812.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $645.65 / $1,148.15