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Maine 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
Professional
Modifier
Low / Median / High Price
$659.72 / $878.20 / $977.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$802.24 / $1,038.20 / $1,521.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$827.20 / $1,190.99 / $1,778.07
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$993.81 / $1,149.83 / $1,763.91
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$659.72 / $871.83 / $977.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$706.38 / $1,024.25 / $1,621.41