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Alaska rates for HCPCS 27558

Open treatment of knee dislocation, includes internal fixation, when performed; with primary ligamentous repair, with augmentation/reconstruction

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,431.67 / $9,813.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,107.54 / $5,820.22 / $5,820.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,948.09 / $3,966.79 / $5,065.49
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,121.45 / $5,820.22 / $8,148.31
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,907.95 / $3,489.54 / $7,084.12
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,285.00 / $5,939.16 / $7,142.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,121.45 / $5,820.22 / $8,148.31
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,775.74 / $5,864.10 / $7,598.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,173.44 / $5,439.05 / $6,981.57