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Missouri 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
$1,122.02 / $4,073.80 / $20,417.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $4,897.79 / $10,964.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $6,309.57 / $8,317.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $1,258.93 / $21,379.62
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$190.55 / $1,905.46 / $1,905.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $3,801.89 / $6,918.31