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Oklahoma 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
$1,006.93 / $3,779.00 / $12,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$839.39 / $839.39 / $952.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,227.34 / $8,304.37 / $13,120.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$759.50 / $1,021.20 / $1,195.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,545.78 / $2,545.78 / $2,545.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$740.75 / $962.88 / $1,206.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$839.39 / $1,090.32 / $6,840.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.89 / $870.38 / $5,922.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,157.00 / $4,054.00 / $7,077.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.92 / $798.66 / $1,126.10