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Pennsylvania rates for HCPCS 28200

Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.66 / $2,699.00 / $7,175.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.66 / $441.93 / $809.23
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.37 / $166.37 / $166.37
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,058.35 / $6,182.00 / $17,094.48
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$482.24 / $500.43 / $500.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$557.83 / $557.83 / $557.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.23 / $477.39 / $839.46
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.42 / $766.62 / $993.93
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,482.06 / $6,984.29 / $13,314.20
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.64 / $360.85 / $495.80
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$442.88 / $2,463.50 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.66 / $470.80 / $1,063.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.50 / $540.50 / $1,049.80
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$557.83 / $557.83 / $557.83
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.42 / $497.90 / $863.12
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.16 / $405.56 / $480.03
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.83 / $467.38 / $509.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,334.00 / $2,824.00 / $5,678.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.41 / $591.29 / $972.87