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Idaho rates for HCPCS 27558

Open Tx Knee Dislocation W/Repair/Reconstruction

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,415.00 / $4,500.00 / $8,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,182.28 / $1,719.57 / $2,415.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,336.86 / $1,803.81 / $2,081.19
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,144.57 / $2,301.17 / $2,899.09
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,919.25 / $2,093.71 / $2,757.37
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,637.62 / $2,060.23
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,480.35 / $9,397.43 / $15,505.75
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,023.06 / $2,380.07 / $2,757.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,100.00 / $10,120.00 / $27,159.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,271.16 / $1,795.56 / $2,555.21