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Louisiana rates for HCPCS 26497

Transfer of tendon to restore intrinsic function; ring and small finger

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$762.00 / $1,850.00 / $3,945.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$755.10 / $1,078.77 / $1,506.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,642.19 / $5,131.89 / $7,389.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$963.06 / $1,168.27 / $1,528.80
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $852.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.00 / $1,200.00 / $1,200.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$867.04 / $1,217.33 / $1,593.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.00 / $3,238.00 / $9,160.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$756.98 / $1,001.28 / $1,791.27