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Missouri 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
$1,153.06 / $4,261.00 / $8,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$822.76 / $981.99 / $1,537.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$808.13 / $1,025.32 / $1,593.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$878.84 / $2,799.79 / $4,589.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$905.04 / $1,465.03 / $8,957.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$910.36 / $1,289.61 / $7,149.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,708.00 / $3,347.00 / $6,854.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$882.50 / $1,176.66 / $2,016.05