go back

West Virginia 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
$1,182.20 / $1,400.00 / $2,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,152.78 / $1,229.18 / $1,796.87
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,259.55 / $1,415.08 / $1,541.75
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$702.98 / $1,370.45 / $1,370.45
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
$1,146.35 / $1,768.60 / $3,476.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$971.29 / $1,444.79 / $2,047.68