go back

Massachusetts rates for HCPCS 27558

Open Tx Knee Dislocation W/Repair/Reconstruction

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,528.00 / $2,894.00 / $6,107.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,078.32 / $1,229.18 / $1,996.46
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,289.76 / $4,751.20 / $14,547.21
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,246.17 / $2,161.51 / $9,637.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,203.06 / $2,071.65 / $3,412.64
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $1,894.91 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,349.15 / $1,634.26 / $2,223.36
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,472.92 / $2,786.91 / $3,668.45
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $5,063.00 / $12,850.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,353.24 / $2,213.63 / $9,637.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,324.00 / $5,097.00 / $10,764.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,308.48 / $1,849.97 / $3,738.27