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North Dakota 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
$1,178.52 / $1,178.52 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,105.06 / $1,162.35 / $1,222.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,364.46 / $2,601.02 / $3,049.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,558.15 / $2,842.26 / $3,785.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,178.52 / $1,670.17 / $1,987.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,246.17 / $2,199.10 / $3,042.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,246.17 / $2,161.98 / $2,741.57