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Pennsylvania 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
$934.00 / $2,747.00 / $8,247.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$805.01 / $897.36 / $1,334.93
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,639.91 / $11,851.00 / $26,582.19
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$898.71 / $947.25 / $1,640.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,014.77 / $1,014.77 / $1,014.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$847.84 / $1,101.23 / $1,806.07
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,061.49 / $1,439.56 / $1,833.48
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,050.11 / $10,628.80 / $12,095.33
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $2,675.00 / $8,427.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$815.78 / $1,003.13 / $4,672.34
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,063.30 / $1,063.30 / $1,831.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,014.77 / $1,014.77 / $1,014.77
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$847.84 / $1,113.22 / $1,855.67
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$874.49 / $874.49 / $1,003.03
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$846.59 / $879.83 / $1,003.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,468.00 / $4,563.00 / $9,631.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$813.72 / $1,083.96 / $1,809.62