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Pennsylvania rates for HCPCS 27882

Amputation, leg, through tibia and fibula; open, circular (guillotine)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$615.69 / $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
$671.22 / $671.22 / $671.22
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$65.95 / $65.95 / $65.95
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$832.00 / $4,761.00 / $8,427.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$671.22 / $671.22 / $671.22
Priority Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$65.95 / $65.95 / $65.95
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$576.24 / $576.24 / $814.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,468.00 / $4,563.00 / $9,631.00