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Illinois rates for HCPCS 27557

Open Tx Knee Dislocation W/Ligamentous Repair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.00 / $2,784.00 / $6,661.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$882.10 / $1,073.42 / $1,979.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,550.94 / $14,012.72 / $28,060.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,280.32 / $1,770.39 / $2,157.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,077.31 / $1,543.09 / $2,274.44
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,219.31 / $1,798.63 / $4,349.99
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,216.72 / $1,336.13 / $1,485.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,680.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,100.00 / $5,619.00 / $12,241.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,028.01 / $1,424.82 / $2,359.69