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Arizona 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
$1,965.00 / $3,819.00 / $7,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$739.45 / $918.44 / $5,009.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.35 / $2,531.19 / $4,140.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,001.12 / $1,144.14 / $1,430.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$918.45 / $1,213.22 / $6,063.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$770.10 / $978.12 / $7,149.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,892.00 / $4,545.00 / $7,217.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$755.04 / $923.78 / $1,798.11