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Missouri 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
$1,258.00 / $4,261.00 / $8,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$680.59 / $811.92 / $1,272.51
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$706.22 / $914.05 / $1,353.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$719.07 / $1,028.47 / $1,705.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$748.65 / $1,217.88 / $8,957.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$744.84 / $1,078.11 / $5,922.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,708.00 / $3,347.00 / $6,854.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$718.79 / $998.33 / $1,625.47