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Missouri rates for HCPCS 27558

Open Tx Knee Dislocation W/Repair/Reconstruction

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,760.00 / $5,389.00 / $9,823.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,003.46 / $1,200.93 / $1,868.55
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,224.00 / $4,490.00 / $14,717.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,198.50 / $1,524.00 / $2,343.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,155.40 / $1,645.11 / $2,617.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,039.73 / $1,785.72 / $4,462.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,183.85 / $1,692.41 / $9,637.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,156.00 / $4,000.00 / $10,781.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,099.18 / $1,495.40 / $2,440.62