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Arizona 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
$1,965.00 / $4,521.00 / $7,963.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,006.10 / $1,155.50 / $2,700.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,763.75 / $6,640.00 / $10,860.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,232.16 / $1,408.18 / $1,760.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,052.38 / $1,450.02 / $2,364.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,134.26 / $1,513.73 / $6,950.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,059.30 / $1,334.52 / $9,637.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,637.00 / $6,477.00 / $9,010.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,031.22 / $1,243.08 / $2,285.19