go back

Pennsylvania rates for HCPCS 27626

Arthrotomy, with synovectomy, ankle; including tenosynovectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$903.49 / $3,935.60 / $8,744.77
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
$705.06 / $705.06 / $705.06
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$926.00 / $4,534.00 / $8,451.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$705.06 / $705.06 / $705.06
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$598.34 / $598.34 / $807.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $3,475.00 / $6,368.00