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Pennsylvania rates for HCPCS 27036

Capsulectomy or capsulotomy, hip, with or without excision of heterotopic bone, with release of hip flexor muscles (ie, gluteus medius, gluteus minimus, tensor fascia latae, rectus femoris, sartorius, iliopsoas)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,059.13 / $3,830.00 / $8,240.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,531.00 / $27,840.00 / $46,296.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,155.76 / $1,155.76 / $1,155.76
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$114.90 / $114.90 / $114.90
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,059.13 / $4,597.00 / $8,404.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,155.76 / $1,155.76 / $1,155.76
Priority Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$114.90 / $114.90 / $114.90
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$995.59 / $995.59 / $1,069.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,332.00 / $3,879.00 / $7,508.00