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Utah rates for HCPCS 26489

Transfer/Transplant Tendon Palmar W/Graft Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,251.50 / $4,387.00 / $8,133.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$909.84 / $1,251.50 / $5,009.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,799.79 / $2,799.79 / $3,077.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.08 / $582.36 / $896.56
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,684.92 / $6,137.22 / $8,943.69
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,272.82 / $1,532.91 / $2,148.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $6,097.00 / $8,267.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$787.93 / $974.96 / $1,603.02