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Pennsylvania rates for HCPCS 27612

Arthrotomy, posterior capsular release, ankle, with or without Achilles tendon lengthening

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$835.63 / $2,791.00 / $7,629.00
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
$654.70 / $654.70 / $654.70
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,245.97 / $8,808.40 / $23,610.37
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$835.63 / $3,838.00 / $8,017.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$654.70 / $654.70 / $654.70
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.21 / $555.21 / $628.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $3,475.00 / $6,368.00