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Pennsylvania rates for HCPCS 27758

Open treatment of tibial shaft fracture (with or without fibular fracture), with plate/screws, with or without cerclage

Facilitymedian $5,370 · 10th–90th $1,023$11,2200%5%10%10th90th$5,370$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,047.13 / $5,370.32 / $10,000.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,549.93 / $10,000.00 / $57,543.99
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,513.56 / $23,988.33 / $61,659.50
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$977.24 / $4,168.69 / $8,511.38
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588.84 / $588.84 / $912.01
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,162.28 / $7,079.46 / $40,738.03