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Nebraska 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
Facility
Modifier
Low / Median / High Price
$4,241.22 / $10,431.19 / $20,928.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$848.00 / $848.00 / $4,753.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,306.43 / $5,664.13 / $10,956.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$811.76 / $1,383.70 / $1,844.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,705.24 / $6,705.24 / $6,705.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,521.00 / $1,997.75 / $2,607.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$848.00 / $1,484.00 / $8,816.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,082.83 / $1,773.49 / $2,486.09
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,285.00 / $2,159.25 / $7,196.96
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,455.89 / $1,965.97 / $2,571.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,341.00 / $7,441.00 / $8,816.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,082.83 / $1,773.49 / $2,197.32