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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
$1,547.00 / $4,248.00 / $13,151.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,224.00 / $4,500.00 / $11,414.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,976.00 / $6,378.00 / $8,227.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.92 / $1,129.02 / $19,067.25
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$192.66 / $192.66 / $1,887.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,156.00 / $4,000.00 / $11,258.00