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New Hampshire rates for HCPCS 27558

Open Tx Knee Dislocation W/Repair/Reconstruction

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,331.21 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,089.26 / $1,229.84 / $1,565.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,669.00 / $20,162.41 / $35,151.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,163.18 / $1,994.64 / $2,973.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,346.78 / $1,346.78 / $1,346.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,551.30 / $2,232.00 / $3,487.04
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,331.60 / $2,094.87 / $4,109.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,155.00 / $11,155.00 / $11,155.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,355.52 / $1,831.38 / $3,594.87
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$939.23 / $1,033.15 / $1,314.92