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Pennsylvania rates for HCPCS 27762

Closed treatment of medial malleolus fracture; with manipulation, with or without skin or skeletal traction

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$338.74 / $345.24 / $381.83
Cigna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$528.79 / $528.79 / $528.79
Martin's Point
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$345.24 / $345.24 / $381.83
Priority Health
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$528.79 / $528.79 / $528.79