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Utah rates for HCPCS 27558

Open Tx Knee Dislocation W/Repair/Reconstruction

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,719.57 / $4,387.00 / $9,078.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,092.03 / $1,719.57 / $6,215.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,193.02 / $1,741.09 / $2,510.92
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.06 / $708.00 / $1,121.71
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,147.96 / $12,655.20 / $18,168.36
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,553.92 / $1,984.62 / $2,858.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $7,693.00 / $13,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,010.40 / $1,243.08 / $2,022.31