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Georgia 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
$1,145.45 / $4,592.00 / $7,268.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,402.00 / $5,435.54 / $12,227.65
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,294.71 / $1,561.67 / $2,124.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$845.53 / $845.53 / $4,830.16
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$83.96 / $83.96 / $83.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$815.52 / $1,177.10 / $1,837.75
Kaiser Permanente
Facility/Professional
Professional
Modifier
80
Low / Median / High Price
$58.81 / $58.81 / $58.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$29.40 / $29.40 / $29.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,738.00 / $7,794.00 / $14,048.00