go back

Idaho 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
$2,884.03 / $4,466.84 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,258.93 / $1,995.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $4,265.80 / $8,511.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $1,819.70 / $1,905.46
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $1,479.11 / $2,398.83
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $1,737.80 / $2,344.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,754.40 / $7,244.36 / $10,232.93
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,819.70 / $2,041.74
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,096.48 / $6,309.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $9,332.54 / $18,197.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,348.96 / $1,949.84