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Arizona rates for HCPCS 27691

Transfer or transplant of single tendon (with muscle redirection or rerouting); deep (eg, anterior tibial or posterior tibial through interosseous space, flexor digitorum longus, flexor hallucis longus, or peroneal tendon to midfoot or hindfoot)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,648.50 / $3,929.00 / $7,562.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$830.45 / $3,228.01 / $5,113.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$718.57 / $955.66 / $7,167.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$192.66 / $192.66 / $1,887.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,637.00 / $6,477.00 / $9,010.00