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Pennsylvania rates for HCPCS 27650

Repair, primary, open or percutaneous, ruptured Achilles tendon;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,121.88 / $5,075.00 / $19,904.98
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,393.00 / $11,479.00 / $18,724.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$749.93 / $749.93 / $749.93
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$74.34 / $74.34 / $74.34
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,107.33 / $14,952.11 / $28,033.93
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$973.49 / $4,844.00 / $18,727.75
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$749.93 / $749.93 / $749.93
Priority Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$74.34 / $74.34 / $74.34
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$644.70 / $644.70 / $782.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,332.00 / $3,879.00 / $7,508.00