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Texas 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
$921.00 / $3,500.00 / $10,481.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,485.14 / $8,913.11 / $17,660.22
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.78 / $1,307.16 / $2,808.67
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$684.72 / $2,916.90 / $2,916.90
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,787.60 / $19,913.50 / $26,542.00
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$171.48 / $1,887.52 / $1,887.52
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$727.22 / $933.29 / $1,435.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$728.51 / $951.63 / $1,499.93
Providence
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$283.68 / $283.68 / $283.68
Providence
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$83.96 / $83.96 / $241.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,093.00 / $6,000.00 / $13,134.00