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Secondary Flexor Tendon Repair With Graft

New Jersey rates for HCPCS 26372

A surgery to repair the deep tendon that bends the tip of a finger, performed as a delayed repair rather than immediately after the original injury, in a case where the more superficial flexor tendon in the same finger is still intact and working. This version uses a tendon graft, taken from elsewhere in the body, to bridge and reconstruct the damaged tendon rather than reconnecting the original tendon ends directly. It is used when a finger has lost the ability to bend at the fingertip joint due to a flexor tendon injury that was not repaired right away.

Facilitymedian $7,413 · 10th–90th $4,467$11,7490%10%10th90th$7,413Professionalmedian $977 · 10th–90th $813$3,4670%20%10th90th$977$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
$4,466.84
Median
$7,413.10
Typical High
$11,748.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$954.99
Typical High
$3,981.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,288.25
Typical High
$2,818.38
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,122.02
Typical High
$1,548.82
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$14,791.08
Median
$22,908.68
Typical High
$36,307.81
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,122.02
Typical High
$4,466.84
United
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$7,079.46
Typical High
$12,022.64
United
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,000.00
Typical High
$2,238.72