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New Mexico 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
$831.38 / $7,838.38 / $8,763.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$703.33 / $831.38 / $2,695.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,855.07 / $9,886.35 / $15,341.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$715.59 / $1,091.99 / $1,424.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,211.30
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$722.39 / $938.00 / $1,140.23
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.36 / $1,144.95 / $1,902.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$790.00 / $9,127.00 / $13,891.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$806.68 / $1,085.34 / $1,688.40