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Louisiana 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
$860.00 / $2,447.00 / $5,150.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,078.32 / $1,567.77 / $2,118.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,261.91 / $10,697.52 / $15,036.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,280.66 / $1,544.62 / $2,183.44
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $1,042.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $400.00 / $400.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,146.35 / $1,661.75 / $2,271.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,141.00 / $4,717.00 / $11,696.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,059.24 / $1,367.01 / $2,513.77