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Maine rates for HCPCS 27566

Open treatment of patellar dislocation, with or without partial or total patellectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,377.09 / $2,377.09 / $2,377.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$815.78 / $870.00 / $1,126.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$936.81 / $1,212.34 / $1,721.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$917.85 / $1,352.28 / $1,926.29
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,124.48 / $1,301.02 / $1,995.84
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,377.09 / $2,377.09 / $2,377.09
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$815.78 / $897.36 / $1,126.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$855.62 / $1,240.65 / $1,785.67