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Nebraska 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
$4,365.16 / $7,244.36 / $13,489.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,318.26 / $5,370.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $5,623.41 / $10,964.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,479.11 / $2,089.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.72 / $2,238.72 / $2,818.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $1,548.82 / $8,709.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,698.24 / $7,079.46
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $2,137.96 / $3,019.95
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $2,454.71 / $2,454.71
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $2,187.76 / $3,019.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $5,495.41 / $8,912.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,659.59 / $2,344.23