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Wisconsin 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
$954.99 / $1,949.84 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $977.24 / $2,398.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $7,943.28 / $12,589.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,995.26 / $4,786.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $2,951.21 / $4,786.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $4,365.16 / $4,897.79
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $1,819.70 / $5,495.41
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $2,290.87 / $2,951.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $1,949.84 / $11,220.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,659.59 / $7,079.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $2,238.72 / $3,388.44
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,025.60 / $8,912.51 / $8,912.51
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,570.88 / $6,918.31 / $6,918.31
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,162.28 / $3,162.28 / $3,162.28
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,691.53 / $5,370.32 / $6,165.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $10,232.93 / $12,589.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,380.38 / $3,801.89