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Washington rates for HCPCS 27558

Open Tx Knee Dislocation W/Repair/Reconstruction

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,733.00 / $5,132.00 / $22,024.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,105.06 / $1,505.78 / $3,385.46
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,631.95 / $18,220.34 / $35,644.43
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,705.87 / $2,768.58 / $10,395.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$765.00 / $870.49 / $870.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,247.79 / $2,123.42 / $3,585.71
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,158.24 / $2,344.52 / $3,281.02
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,141.34 / $2,296.67 / $3,011.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.72 / $716.11 / $2,351.37
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,682.17 / $2,306.42 / $2,392.57
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,597.73 / $1,597.73 / $1,631.95
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,826.05 / $2,609.98 / $3,239.25
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,233.34 / $18,633.84 / $35,644.43
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,629.47 / $2,322.86 / $3,096.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $4,016.00 / $16,315.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,480.92 / $1,929.77 / $3,431.39
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$992.74 / $992.74 / $1,269.16