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Pennsylvania rates for HCPCS 28202

Rpr Tendon Flxr Foot Sec W/Free Graft Ea Tendon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$614.34 / $3,066.00 / $8,451.00
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
$739.66 / $739.66 / $739.66
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,672.17 / $18,383.11 / $24,169.11
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$657.00 / $3,731.00 / $8,017.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$739.66 / $739.66 / $739.66
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$420.46 / $550.54 / $746.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,334.00 / $2,824.00 / $5,678.00