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Ohio rates for HCPCS 27696

Repair, primary, disrupted ligament, ankle; both collateral ligaments

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$793.49 / $3,023.00 / $10,268.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,670.00 / $5,544.00 / $30,285.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$488.38 / $626.79 / $832.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.63 / $625.63 / $625.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,904.00 / $5,435.52 / $7,778.00