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Pennsylvania rates for HCPCS 27664

Rpr Extensor Tendon Leg Primary W/O Graft Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$918.00 / $2,747.00 / $8,017.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,292.00 / $5,951.00 / $9,100.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$411.59 / $411.59 / $411.59
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.50 / $15,089.40 / $17,243.79
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$934.00 / $3,077.00 / $8,017.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$411.59 / $411.59 / $411.59
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$356.26 / $356.26 / $843.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $3,475.00 / $6,368.00