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Pennsylvania rates for HCPCS 28210

Repair, tendon, extensor, foot; secondary with free graft, each tendon (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.38 / $3,066.00 / $7,763.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,639.91 / $11,851.00 / $26,582.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$718.48 / $718.48 / $718.48
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,395.67 / $10,395.67 / $10,395.67
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.00 / $3,964.00 / $8,017.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$718.48 / $718.48 / $718.48
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$415.97 / $477.36 / $596.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,468.00 / $4,563.00 / $9,631.00