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Wisconsin 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
Facility
Modifier
Low / Median / High Price
$866.73 / $1,791.94 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$823.56 / $896.12 / $3,887.24
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,692.00 / $13,743.77 / $21,606.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$788.96 / $1,996.49 / $5,414.32
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,560.77 / $7,560.77 / $7,560.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,312.27 / $2,702.08 / $4,145.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,349.30 / $3,665.08 / $4,399.18
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$843.71 / $1,026.11 / $1,837.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$866.73 / $1,632.58 / $11,598.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$927.64 / $1,748.50 / $6,509.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.25 / $500.46 / $1,631.41
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$843.71 / $1,020.80 / $1,837.47
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,726.40 / $2,103.55 / $3,140.19
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,129.64 / $9,129.64 / $25,201.85
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,643.02 / $4,066.15 / $6,509.84
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,888.69 / $2,888.69 / $2,888.69
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,207.94 / $4,383.91 / $5,588.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,241.00 / $9,837.00 / $12,062.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$910.60 / $1,741.99 / $3,902.12