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Maine rates for HCPCS 27557

Open Tx Knee Dislocation W/Ligamentous Repair

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$873.48 / $1,087.33 / $1,319.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,744.96 / $31,420.90 / $36,545.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,095.31 / $1,417.46 / $1,998.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,059.72 / $1,583.51 / $2,246.52
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,304.20 / $1,508.96 / $2,314.82
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$956.27 / $1,157.33 / $1,319.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,002.89 / $1,461.47 / $2,067.42