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Texas 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
$912.01 / $3,630.78 / $12,022.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,000.00 / $1,621.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $4,365.16 / $8,709.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,096.48 / $1,479.11
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $912.01 / $912.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $2,344.23 / $4,570.88
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,912.51 / $45,708.82 / $45,708.82
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,918.31 / $8,317.64 / $8,317.64
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $1,258.93 / $3,890.45
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,230.27 / $1,737.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $891.25
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,122.02 / $1,819.70
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $1,202.26 / $1,949.84
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $1,698.24 / $2,187.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $5,248.07 / $10,964.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $977.24 / $1,513.56
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $954.99 / $954.99