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Boutonniere Tendon Repair With Tendon Graft

Florida rates for HCPCS 26428

A surgery to repair the central part of the tendon on top of a finger that straightens the middle knuckle, a structure that when damaged causes the finger to curl into a specific bent posture known as a boutonniere deformity. This version uses a tendon graft, taken from elsewhere in the body, to reconstruct the damaged tendon rather than reconnecting the original tendon ends directly. It is performed as a delayed, secondary repair of the injury rather than as the initial treatment.

Rates data updated July 2026.

Facilitymedian $6,918 · 10th–90th $1,000$14,1250%10%10th90th$6,918Professionalmedian $794 · 10th–90th $617$1,2590%20%10th90th$794$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$4,897.79
Typical High
$11,748.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$794.33
Typical High
$1,258.93
AvMed
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$3,388.44
Typical High
$11,220.18
AvMed
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$794.33
Typical High
$891.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$1,584.89
Typical High
$1,698.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$977.24
Typical High
$1,584.89
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$12,302.69
Typical High
$23,442.29
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$630.96
Typical High
$891.25
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$1,230.27
United
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$7,762.47
Typical High
$12,882.50
United
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$794.33
Typical High
$1,621.81
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$831.76