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Pennsylvania 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
Facility
Modifier
Low / Median / High Price
$1,030.04 / $3,830.00 / $8,240.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$888.21 / $964.39 / $1,461.71
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,431.95 / $7,827.00 / $19,139.18
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$988.39 / $1,025.68 / $1,025.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,120.04 / $1,120.04 / $1,120.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$913.93 / $1,170.04 / $1,980.46
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,172.92 / $1,588.01 / $2,025.95
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,077.64 / $11,077.64 / $11,077.64
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,252.94 / $2,252.94 / $2,252.94
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,030.04 / $4,761.00 / $8,404.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$899.59 / $1,090.73 / $4,916.84
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,171.40 / $1,171.40 / $2,029.80
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,120.04 / $1,120.04 / $1,120.04
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$913.93 / $1,200.15 / $2,001.52
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$964.05 / $964.05 / $1,144.84
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$936.26 / $967.17 / $1,144.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $3,475.00 / $6,368.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$876.04 / $1,191.25 / $1,982.82