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Maine rates for HCPCS 26358

Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); secondary, with free graft (includes obtaining graft), each tendon

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$819.65 / $1,043.42 / $1,242.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,036.35 / $1,341.17 / $1,901.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,019.04 / $1,490.81 / $2,138.13
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,241.13 / $1,435.99 / $2,202.88
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$819.65 / $1,071.98 / $1,242.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$850.79 / $1,273.76 / $1,705.93