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Montana rates for HCPCS 26489

Transfer or transplant of tendon, palmar; with free tendon graft (includes obtaining graft), each tendon

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,288.25 / $2,511.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,773.51 / $81,283.05 / $95,499.26
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $1,659.59 / $1,905.46
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $1,659.59 / $1,905.46
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,258.93 / $1,819.70
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $1,258.93 / $2,089.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,479.11 / $1,778.28