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Pennsylvania rates for HCPCS 27814

Open treatment of bimalleolar ankle fracture (eg, lateral and medial malleoli, or lateral and posterior malleoli, or medial and posterior malleoli), includes internal fixation, when performed

Facilitymedian $5,248 · 10th–90th $1,047–$22,3870%5%10th90th$5,248$500.0$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 / $5,248.07 / $22,387.21
Aetna
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$41,686.94 / $41,686.94 / $41,686.94
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,951.21 / $4,570.88 / $58,884.37
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
$5,011.87 / $19,498.45 / $33,884.42
Independence Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,691.53 / $3,890.45 / $13,803.84
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$776.25 / $3,715.35 / $17,782.79
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$467.74 / $467.74 / $870.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,162.28 / $7,079.46 / $23,442.29