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Maine rates for HCPCS 27558

Open Tx Knee Dislocation W/Repair/Reconstruction

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$994.55 / $1,234.30 / $1,503.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,744.96 / $31,420.90 / $36,545.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,244.96 / $1,611.13 / $2,270.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,203.06 / $1,802.72 / $2,552.26
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,482.27 / $1,714.99 / $2,630.88
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$994.55 / $1,401.45 / $1,503.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,142.41 / $1,605.09 / $2,347.42