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Pennsylvania rates for HCPCS 28261

Capsulotomy Midfoot W/Tendon Lengthening

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.00 / $2,747.00 / $7,263.00
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
$1,453.97 / $1,453.97 / $1,453.97
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $3,838.00 / $8,017.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,453.97 / $1,453.97 / $1,453.97
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$814.36 / $917.68 / $1,167.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,334.00 / $2,824.00 / $5,678.00