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Maine rates for HCPCS 26497

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$744.72 / $868.01 / $1,112.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$921.96 / $1,193.11 / $1,731.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$935.52 / $1,351.05 / $2,006.74
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,130.66 / $1,308.17 / $2,006.81
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$744.72 / $868.01 / $1,112.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$814.72 / $1,148.64 / $1,833.29