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Pennsylvania rates for HCPCS 20924

Tendon graft, from a distance (eg, palmaris, toe extensor, plantaris)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$926.00 / $3,830.00 / $8,240.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,431.95 / $7,827.00 / $19,139.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.83 / $575.83 / $575.83
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$57.12 / $57.12 / $57.12
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,830.53 / $16,830.53 / $33,242.06
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $4,597.00 / $8,404.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.83 / $575.83 / $575.83
Priority Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$57.12 / $57.12 / $57.12
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$494.00 / $494.00 / $506.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $3,475.00 / $6,368.00