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Virginia rates for HCPCS 27696

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.49 / $3,381.47 / $8,320.61
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,823.00 / $12,004.00 / $15,528.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$572.00 / $572.00 / $625.63
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$529.66 / $677.96 / $789.26
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$568.29 / $746.90 / $1,142.82
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$548.66 / $742.57 / $2,434.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,121.00 / $9,270.00 / $17,192.00