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Washington rates for HCPCS 27538

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

Facilitymedian $955 · 10th–90th $427$6,6070%5%10%10th90th$955Professionalmedian $646 · 10th–90th $407$1,2020%5%10%10th90th$646$50.0$200.0$1.0K$5.0K$20.0K

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
Facility
Modifier
Typical Low / Median / Typical High
$870.96 / $1,905.46 / $17,782.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $588.84 / $1,148.15
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$426.58 / $630.96 / $1,288.25
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $933.25 / $1,258.93
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$302.00 / $467.74 / $562.34
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $794.33 / $1,412.54
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$309.03 / $645.65 / $1,174.90
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $676.08 / $1,202.26
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $302.00
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$562.34 / $912.01 / $977.24
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$234.42 / $660.69 / $691.83
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $870.96 / $1,258.93
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$426.58 / $660.69 / $1,288.25
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $933.25 / $1,258.93
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$229.09 / $851.14 / $1,949.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $660.69 / $1,230.27
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $616.60 / $977.24