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Montana rates for HCPCS 26390

Excision flexor tendon, with implantation of synthetic rod for delayed tendon graft, hand or finger, each rod

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$945.03 / $1,261.10 / $4,498.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,400.73 / $1,400.73 / $1,400.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,400.73 / $1,400.73 / $1,400.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$692.84 / $1,382.25 / $1,400.73
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$686.21 / $943.54 / $1,400.73
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$859.86 / $1,382.25 / $1,860.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,150.55 / $1,370.87 / $1,563.53