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Knee Intercondylar Fracture Treatment, Closed

West Virginia rates for HCPCS 27538

This treatment addresses a fracture at the top of the shinbone where knee ligaments attach, sometimes called a tibial spine fracture. The break is treated without opening the knee, using a cast, brace, or gentle manipulation of the joint from outside the skin to allow the bone fragment to heal in position. It is most common after a twisting injury to the knee, especially in children and teenagers.

Rates data updated July 2026.

Facilitymedian $468 · 10th–90th $437$1,2300%20%10th90th$468Professionalmedian $501 · 10th–90th $407$1,0470%20%10th90th$501$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
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$467.74
Typical High
$1,230.27
Aetna
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$501.19
Typical High
$1,047.13
CareSource
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$575.44
CareSource
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$512.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$776.25
Typical High
$1,318.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$645.65
Typical High
$2,951.21
United
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$457.09
Typical High
$977.24
United
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$512.86
Typical High
$741.31