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Wyoming rates for HCPCS 26489

Transfer or transplant of tendon, palmar; with free tendon graft (includes obtaining graft), each tendon

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $977.24 / $1,659.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $2,754.23 / $2,754.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $2,818.38 / $3,388.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $2,041.74 / $2,041.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $4,168.69 / $14,125.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,698.24 / $3,548.13