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Montana rates for HCPCS 26372

Repair or advancement of profundus tendon, with intact superficialis tendon; secondary with free graft (includes obtaining graft), each tendon

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$909.49 / $985.62 / $4,753.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,460.15 / $1,460.15 / $1,460.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,460.15 / $1,460.15 / $1,460.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$736.91 / $1,460.15 / $1,460.82
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$714.20 / $982.03 / $1,460.15
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$899.01 / $1,460.15 / $1,945.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,154.13 / $1,448.31 / $1,647.36