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Pennsylvania rates for HCPCS 27652

Repair, primary, open or percutaneous, ruptured Achilles tendon; with graft (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $4,786.30 / $10,471.29
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,417.38 / $21,379.62 / $57,543.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $1,148.15 / $1,148.15
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,165.95 / $19,054.61 / $20,892.96
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $3,981.07 / $9,549.93
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,071.52 / $1,348.96
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $467.74 / $870.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $4,466.84 / $22,387.21