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Minnesota 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
$1,174.90 / $1,174.90 / $7,079.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,230.27 / $1,905.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,128.61 / $8,128.31 / $22,908.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $2,818.38 / $4,365.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $4,168.69 / $10,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $3,388.44 / $5,128.61
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $4,073.80 / $7,943.28
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $2,884.03 / $4,570.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $1,995.26 / $5,370.32
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $2,238.72 / $6,456.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $6,309.57 / $12,589.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $2,089.30 / $4,168.69