go back

Utah rates for HCPCS 27557

Open Tx Knee Dislocation W/Ligamentous Repair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,514.59 / $4,387.00 / $9,078.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$960.90 / $1,514.59 / $5,459.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,046.57 / $1,529.94 / $2,269.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.06 / $618.67 / $997.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,147.96 / $12,655.20 / $18,168.36
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,367.68 / $1,748.44 / $2,502.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $7,693.00 / $13,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$908.69 / $1,151.01 / $1,806.84