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Connecticut 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
$4,365.16 / $7,079.46 / $12,882.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,258.93 / $3,630.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $12,882.50 / $13,803.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $2,344.23 / $3,388.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $851.14 / $851.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $2,137.96 / $3,235.94
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,737.80 / $2,238.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $10,232.93 / $16,218.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,778.28 / $3,235.94