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Pennsylvania rates for HCPCS 26489

Transfer/Transplant Tendon Palmar W/Graft Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,029.76 / $3,142.00 / $7,799.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$880.92 / $954.09 / $1,385.87
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,431.95 / $7,827.00 / $19,139.18
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$950.10 / $985.95 / $985.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$878.84 / $2,443.39 / $3,077.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,136.61 / $1,535.06 / $1,963.25
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.00 / $3,839.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.03 / $1,048.01 / $3,748.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,066.40 / $1,066.40 / $2,048.10
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$878.84 / $2,443.39 / $3,077.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$947.25 / $947.25 / $981.06
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$924.08 / $947.25 / $1,014.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $3,475.00 / $6,368.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$805.76 / $1,131.38 / $1,784.35