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Idaho rates for HCPCS 27557

Open treatment of knee dislocation, includes internal fixation, when performed; with primary ligamentous repair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,415.00 / $4,500.00 / $8,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,055.73 / $1,514.59 / $2,124.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,176.82 / $1,585.98 / $1,903.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,002.43 / $2,124.41 / $2,560.35
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,688.68 / $1,842.19 / $2,424.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,441.13 / $1,627.08
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,480.35 / $9,397.43 / $15,505.75
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,780.59 / $2,094.81 / $2,424.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,100.00 / $10,120.00 / $27,159.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,149.11 / $1,575.08 / $2,247.54