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Indiana 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
$695.27 / $4,481.28 / $13,653.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,146.00 / $9,219.00 / $30,900.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$693.50 / $951.86 / $1,427.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,705.12 / $4,705.12 / $5,577.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,472.00 / $10,113.00 / $15,750.00