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Maryland rates for HCPCS 27558

Open Tx Knee Dislocation W/Repair/Reconstruction

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,619.21 / $8,619.21 / $8,619.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,072.20 / $1,229.18 / $2,138.77
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,325.00 / $1,363.88 / $1,500.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.00 / $507.00 / $641.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,131.57 / $1,591.20 / $2,708.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,238.13 / $1,609.28 / $2,091.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$847.00 / $847.00 / $1,560.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$962.05 / $1,346.22 / $2,348.48
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,193.06 / $1,434.63 / $1,761.27