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Pennsylvania 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
$978.40 / $3,830.00 / $8,240.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$836.12 / $909.63 / $1,317.42
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
$900.95 / $934.95 / $934.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,035.32 / $1,035.32 / $1,035.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$877.67 / $1,104.93 / $1,848.57
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,079.14 / $1,456.69 / $1,863.98
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$892.45 / $892.45 / $1,020.58
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.00 / $4,597.00 / $8,404.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$845.57 / $987.56 / $4,718.74
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,149.09 / $1,149.09 / $1,948.60
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,035.32 / $1,035.32 / $1,035.32
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$877.67 / $1,112.33 / $1,901.18
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$898.39 / $898.39 / $1,062.31
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$877.40 / $898.39 / $1,062.31
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
$855.59 / $1,115.50 / $1,761.92