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Idaho 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
$1,813.26 / $4,500.00 / $9,008.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,214.76 / $4,214.76 / $4,226.60
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$714.28 / $1,343.20 / $1,797.03
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,746.17 / $17,361.59 / $22,059.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,100.00 / $10,120.00 / $27,159.00