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Illinois rates for HCPCS 27558

Open Tx Knee Dislocation W/Repair/Reconstruction

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.00 / $2,784.00 / $6,661.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,003.46 / $1,222.57 / $2,260.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,461.22 / $15,959.84 / $31,959.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,457.75 / $2,015.73 / $2,456.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,223.36 / $1,756.93 / $2,587.29
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,385.41 / $2,047.87 / $4,940.38
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,381.39 / $1,521.27 / $1,691.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,913.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,100.00 / $5,820.00 / $12,241.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,121.55 / $1,536.41 / $2,678.28