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Ohio rates for HCPCS 27826

Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), with internal fixation, when performed; of fibula only

Facilitymedian $6,026 · 10th–90th $1,585$11,7490%5%10%10th90th$6,026$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,288.25 / $5,888.44 / $10,964.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,238.72 / $6,025.60 / $22,908.68
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$812.83 / $812.83 / $954.99
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$912.01 / $1,348.96 / $21,379.62
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21,379.62 / $21,379.62 / $21,379.62
SummaCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $8,912.51
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,248.07 / $9,332.54 / $17,378.01