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Minnesota 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
$977.24 / $977.24 / $5,011.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $977.24 / $1,819.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $7,585.78 / $20,417.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $2,290.87 / $3,467.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $3,548.13 / $8,511.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $2,951.21 / $4,265.80
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $3,388.44 / $6,606.93
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $2,398.83 / $3,801.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $1,819.70 / $6,918.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,778.28 / $5,248.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $5,011.87 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,698.24 / $3,388.44