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Texas 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
$985.57 / $3,682.00 / $12,826.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,053.97 / $1,202.90 / $2,023.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,199.36 / $2,026.09 / $7,164.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,093.92 / $1,384.64 / $1,886.82
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $1,042.88 / $1,070.24
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
$1,203.06 / $1,595.08 / $2,463.39
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $6,764.50
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,637.49 / $9,637.49 / $10,168.35
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,153.86 / $1,561.60 / $2,464.04
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,453.98 / $1,744.77 / $2,163.51
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,249.28 / $2,011.20 / $4,277.43
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,153.86 / $1,563.58 / $2,521.96
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,221.74 / $1,675.28 / $2,521.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,093.00 / $6,000.00 / $13,134.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$961.50 / $1,304.19 / $2,037.61
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$992.74 / $1,130.58 / $1,563.15