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Utah rates for HCPCS 26373

Repair or advancement of profundus tendon, with intact superficialis tendon; secondary without free graft, each tendon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,165.11 / $4,387.00 / $8,133.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$718.90 / $1,165.11 / $4,569.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$843.78 / $1,179.58 / $1,904.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.08 / $519.75 / $801.80
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,684.92 / $6,137.22 / $8,943.69
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,163.16 / $1,401.64 / $1,880.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $6,097.00 / $8,267.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.29 / $889.77 / $1,457.88