go back

Pennsylvania rates for HCPCS 27881

Amputation, leg, through tibia and fibula; with immediate fitting technique including application of first cast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$888.06 / $2,747.00 / $8,247.00
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
$953.81 / $953.81 / $953.81
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$888.06 / $4,761.00 / $8,427.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$953.81 / $953.81 / $953.81
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.51 / $831.51 / $994.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,228.00 / $4,563.00 / $8,261.00