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Massachusetts 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
$1,778.28 / $3,311.31 / $5,128.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,023.29 / $2,511.89
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $5,623.41 / $45,708.82
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,479.11 / $6,918.31
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $1,995.26 / $7,079.46
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,348.96 / $1,819.70
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $5,248.07 / $11,220.18
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,819.70 / $2,818.38
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $5,623.41 / $45,708.82
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,479.11 / $6,918.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $5,248.07 / $10,715.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,479.11 / $2,951.21