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Oklahoma 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
$1,392.00 / $4,856.00 / $14,100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$994.55 / $1,251.86 / $1,269.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,147.65 / $1,543.10 / $1,846.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $900.00 / $900.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,266.43 / $1,589.50 / $1,987.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,183.41 / $1,671.27 / $7,567.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,059.24 / $1,364.85 / $9,637.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,481.00 / $5,910.00 / $9,232.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$996.48 / $1,273.85 / $1,761.26