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Pennsylvania 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
$1,013.00 / $3,591.00 / $15,014.47
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,639.91 / $11,851.00 / $26,582.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$845.53 / $845.53 / $845.53
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$83.96 / $83.96 / $83.96
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,002.18 / $12,226.87 / $32,910.94
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$976.00 / $4,264.00 / $12,961.72
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$845.53 / $845.53 / $845.53
Priority Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$83.96 / $83.96 / $83.96
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$727.93 / $727.93 / $792.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,332.00 / $3,879.00 / $7,508.00