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Tendon Transfer in the Lower Leg

North Carolina rates for HCPCS 27691

Surgery that takes a working tendon in the lower leg, detaches it from its normal attachment and reroutes it to a new point on the foot, so a muscle that still works takes over the job of one that does not. It is done for weakness or imbalance after nerve injury, or for a deformity that keeps pulling the foot into a poor position. The foot is protected in a cast or boot while the transferred tendon heals into its new attachment.

Rates data updated July 2026.

Facilitymedian $3,631 · 10th–90th $724$10,4710%5%10%10th90th$3,631Professionalmedian $1,230 · 10th–90th $1,230$1,6980%20%40%90th$1,230$0.5$5.0$50.0$500.0$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$3,801.89
Typical High
$10,471.29
Cigna
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$1,230.27
Typical High
$6,309.57
Cigna
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$123.03
Median
$123.03
Typical High
$123.03
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,698.24
Medcost
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$1,000.00
Typical High
$1,548.82
United
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$10,964.78
Typical High
$19,498.45
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$20,892.96
Median
$20,892.96
Typical High
$33,884.42
Wellcare
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$2,089.30
Median
$2,089.30
Typical High
$2,089.30