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Virginia 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
$1,320.45 / $5,821.00 / $9,347.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,823.00 / $12,004.00 / $15,528.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.00 / $776.00 / $845.53
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$83.96 / $83.96 / $83.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$716.77 / $917.47 / $1,078.03
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$771.90 / $983.49 / $1,421.43
Medcost
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$184.90 / $264.35 / $387.69
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$129.43 / $185.05 / $271.38
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$737.66 / $950.78 / $3,243.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,423.00 / $11,475.00 / $21,639.00