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Pennsylvania rates for HCPCS 27696

Repair, primary, disrupted ligament, ankle; both collateral ligaments

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$651.25 / $2,747.00 / $8,451.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,431.95 / $7,827.00 / $19,139.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.63 / $625.63 / $625.63
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,346.87 / $10,771.34 / $17,229.82
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$918.00 / $3,389.00 / $9,206.26
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.63 / $625.63 / $625.63
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$538.57 / $538.57 / $668.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $3,475.00 / $6,368.00