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Rhode Island 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
$2,398.83 / $3,235.94 / $3,981.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $977.24 / $2,570.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $977.24 / $1,584.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $5,128.61 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,148.15 / $2,187.76