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Pennsylvania rates for HCPCS 27704

Removal of ankle implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$934.00 / $2,747.00 / $8,017.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,058.35 / $6,182.00 / $17,094.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$643.57 / $643.57 / $643.57
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.00 / $3,389.00 / $8,017.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$643.57 / $643.57 / $643.57
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$556.84 / $556.84 / $624.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,332.00 / $4,476.00 / $10,443.12