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Tennessee 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
$1,256.00 / $3,149.21 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,042.81 / $1,225.39 / $1,913.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,695.00 / $5,486.00 / $9,283.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,139.38 / $1,571.57 / $2,513.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,228.28 / $1,685.82 / $2,485.08
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $6,764.50 / $6,910.85
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,637.49 / $9,637.49 / $10,168.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,905.00 / $6,073.00 / $10,287.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,073.33 / $1,445.81 / $2,549.67