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Rhode Island 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
$2,398.83 / $3,235.94 / $3,981.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $812.83 / $2,238.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $812.83 / $1,318.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,258.93 / $1,621.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $5,128.61 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,000.00 / $1,819.70