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Pennsylvania rates for HCPCS 27884

Amputation, leg, through tibia and fibula; secondary closure or scar revision

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.00 / $3,066.00 / $7,799.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,058.35 / $6,182.00 / $17,094.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$655.17 / $655.17 / $655.17
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,262.60 / $9,262.60 / $9,262.60
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $3,839.00 / $8,017.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$655.17 / $655.17 / $655.17
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$563.76 / $563.76 / $703.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,334.00 / $2,824.00 / $5,678.00