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Boutonniere Tendon Repair With Tendon Graft

Oklahoma 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 $5,248 · 10th–90th $1,000$11,4820%5%10%10th90th$5,248Professionalmedian $832 · 10th–90th $676$1,1480%20%10th90th$832$200.0$1.0K$5.0K$20.0K

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
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,621.81
Typical High
$6,606.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$831.76
Typical High
$954.99
BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$7,585.78
Typical High
$12,589.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$954.99
Typical High
$1,096.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$2,570.40
Typical High
$2,570.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$933.25
Typical High
$1,230.27
Medica
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$1,412.54
Typical High
$7,244.36
Medica
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$870.96
Typical High
$5,888.44
United
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$3,981.07
Typical High
$7,943.28
United
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$794.33
Typical High
$1,096.48