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Harvesting a Tendon Graft From Another Site

Wisconsin rates for HCPCS 20924

Takes a spare tendon from elsewhere in the body — commonly a wrist tendon or one of the toe tendons — to use as graft material replacing or bridging a damaged tendon somewhere else. Harvesting the graft is the work covered here; the repair it is used for is separate. The tendons chosen are ones the body can manage without.

Facilitymedian $13,804 · 10th–90th $1,514$22,3870%10%10th90th$13,804Professionalmedian $1,122 · 10th–90th $741$1,6600%10%10th90th$1,122$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$1,047.13
Typical High
$14,454.40
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$10,715.19
Median
$15,135.61
Typical High
$26,302.68
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,548.82
Typical High
$2,570.40
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$1,047.13
Typical High
$6,760.83
Medica
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$1,071.52
Typical High
$12,302.69
Network Health
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$8,511.38
Typical High
$9,120.11
Quartz
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,122.02
Typical High
$1,659.59
Quartz
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$13,489.63
Typical High
$19,952.62
Quartz
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$1,995.26
Security Health
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$1,621.81
Typical High
$1,621.81
United
Setting
Facility
Modifier
Global
Typical Low
$6,309.57
Median
$10,232.93
Typical High
$13,182.57