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New York 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
$1,047.13 / $4,677.35 / $10,964.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,786.30 / $11,481.54 / $18,620.87
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $2,398.83 / $10,964.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $1,258.93 / $50,118.72
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$125.89 / $125.89 / $125.89
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $831.76 / $1,995.26
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $707.95 / $707.95
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $6,165.95 / $10,232.93
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $5,888.44 / $14,791.08
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $891.25 / $3,388.44