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Illinois 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
$1,023.29 / $2,884.03 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,047.13 / $2,238.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,168.69 / $5,128.61 / $21,379.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,584.89 / $1,905.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,479.11 / $3,090.30
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,621.81 / $4,466.84
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,202.26 / $1,318.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $1,047.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $4,365.16 / $8,912.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,122.02 / $1,949.84