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Alaska rates for HCPCS 26489

Transfer or transplant of tendon, palmar; with free tendon graft (includes obtaining graft), each tendon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $10,964.78 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,202.26 / $2,754.23
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $1,412.54 / $6,456.54
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $3,311.31 / $5,011.87
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,019.95 / $3,981.07 / $5,370.32
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $1,412.54 / $5,011.87
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $870.96 / $1,995.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $4,073.80 / $5,248.07