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Boutonniere Tendon Repair With Tendon Graft

Montana 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 $1,380 · 10th–90th $1,047$1,5490%20%40%10th90th$1,380Professionalmedian $1,148 · 10th–90th $741$1,9950%10%10th90th$1,148$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

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
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,023.29
Typical High
$4,570.88
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,023.29
Typical High
$1,258.93
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$1,380.38
Typical High
$1,548.82
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,380.38
Typical High
$1,548.82
Providence
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$1,071.52
Typical High
$1,659.59
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$1,023.29
Typical High
$1,659.59
United
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,230.27
Typical High
$1,513.56