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Pennsylvania rates for HCPCS 27880

Amputation Leg Through Tibia&Fibula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$934.49 / $3,839.00 / $8,427.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,531.00 / $27,840.00 / $46,296.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,021.03 / $1,021.03 / $1,021.03
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$100.07 / $100.07 / $100.07
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$934.49 / $5,342.00 / $8,451.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,021.03 / $1,021.03 / $1,021.03
Priority Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$100.07 / $100.07 / $100.07
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$877.38 / $877.38 / $890.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,340.00 / $6,368.00 / $11,238.00