go back

Utah rates for HCPCS 26428

Repair of extensor tendon, central slip, secondary (eg, boutonniere deformity); with free graft (includes obtaining graft), each finger

Facilitymedian $5,888 · 10th–90th $3,162–$8,9130%10%10th90th$5,888Professionalmedian $1,023 · 10th–90th $724–$4,5710%10%10th90th$1,023$50.0$200.0$1.0K$5.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,023.29 / $5,888.44 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$758.58 / $1,023.29 / $5,370.32
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$741.31 / $1,000.00 / $1,659.59
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $1,548.82
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,677.35 / $6,309.57 / $9,772.37
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,000.00 / $1,318.26 / $1,778.28
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$812.83 / $1,445.44 / $1,819.70
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$741.31 / $1,202.26 / $1,819.70
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,202.26 / $5,128.61 / $8,317.64
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $794.33 / $1,288.25