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Utah 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
$1,257.28 / $3,294.00 / $6,161.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$815.78 / $897.36 / $4,672.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$894.78 / $1,274.16 / $1,948.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.71 / $514.57 / $845.24
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,361.94 / $13,564.50 / $19,767.36
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,177.52 / $1,476.19 / $2,120.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $9,753.00 / $15,824.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$774.59 / $981.15 / $1,523.37