go back

Pennsylvania rates for HCPCS 27658

Repair, flexor tendon, leg; primary, without graft, each tendon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $2,344.23 / $8,317.64
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $5,248.07 / $57,543.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $630.96 / $630.96
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$63.10 / $63.10 / $63.10
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $9,549.93 / $13,182.57
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $1,995.26 / $7,762.47
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $660.69 / $758.58
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $363.08 / $575.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $3,548.13 / $10,000.00