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Louisiana 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
$756.00 / $2,397.00 / $4,991.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,405.69 / $9,306.98 / $13,265.84
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$684.72 / $2,916.90 / $2,916.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,350.00 / $1,350.00 / $1,350.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,141.00 / $4,717.00 / $11,696.00