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Pennsylvania rates for HCPCS 27385

Suture of quadriceps or hamstring muscle rupture; primary

Facilitymedian $5,370 · 10th–90th $1,000–$16,2180%5%10th90th$5,370$500.0$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K

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
$977.24 / $5,370.32 / $16,218.10
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$4,897.79 / $10,471.29 / $10,471.29
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,019.95 / $4,570.88 / $57,543.99
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $6,165.95 / $57,543.99
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,309.57 / $14,454.40 / $31,622.78
Independence Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,691.53 / $3,801.89 / $16,218.10
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$645.65 / $3,630.78 / $14,454.40
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$478.63 / $478.63 / $707.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,137.96 / $5,011.87 / $23,442.29