go back

Arizona rates for HCPCS 26428

Repair of extensor tendon, central slip, secondary (eg, boutonniere deformity); with free graft (includes obtaining graft), each finger

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $3,819.00 / $7,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.96 / $772.55 / $4,097.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.35 / $2,531.19 / $4,140.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$829.37 / $947.86 / $1,184.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$677.01 / $926.44 / $1,470.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.51 / $1,031.26 / $6,063.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$655.98 / $835.24 / $5,922.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,892.00 / $4,545.00 / $7,217.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.92 / $765.36 / $1,468.24