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Utah rates for HCPCS 26415

Excision of extensor 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
$954.99 / $6,025.60 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $977.24 / $4,786.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,000.00 / $1,778.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $630.96
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $5,495.41 / $12,589.25
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,479.11 / $1,905.46
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,479.11 / $1,949.84
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,288.25 / $1,862.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $5,128.61 / $8,317.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $831.76 / $1,258.93