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Utah rates for HCPCS 27556

Open Tx Knee Dislocation W/O Ligamentous Repair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,264.36 / $4,387.00 / $9,078.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$806.66 / $1,264.36 / $4,581.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$876.50 / $1,277.91 / $1,906.43
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.71 / $514.57 / $824.64
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,147.96 / $12,655.20 / $18,168.36
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,150.09 / $1,453.47 / $2,088.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $7,693.00 / $13,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$747.82 / $964.43 / $1,497.41