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Tennessee 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
$1,256.00 / $2,940.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$917.74 / $1,076.05 / $1,681.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,695.00 / $5,486.00 / $9,419.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$996.59 / $1,369.29 / $2,194.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,085.46 / $1,493.75 / $2,179.98
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $5,954.00 / $6,083.60
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,230.76 / $8,230.76 / $8,945.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,905.00 / $6,073.00 / $10,287.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$951.04 / $1,305.50 / $2,236.63