go back

New Hampshire 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
$100.00 / $2,331.21 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$956.27 / $1,086.45 / $1,375.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,669.00 / $20,162.41 / $35,151.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.44 / $1,705.09 / $2,616.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,183.90 / $1,183.90 / $1,183.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,367.49 / $2,063.69 / $3,067.87
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,171.63 / $1,843.21 / $3,616.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,155.00 / $11,155.00 / $11,155.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,278.95 / $1,800.09 / $3,154.81
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$824.76 / $907.24 / $1,154.66