I just found my billing information from Cigna for my DS revision with dr. K. Dr K bill the insurance company $18,000 for the revision. Cigna paid him $1,388. No wonder he doesn't take hmos that was a PPO. If a PPO is paying him that little can you imagine what an HMO would pay him? My surgery was a six and a half hour surgery because he had to do three hours worth of adhesion removal.