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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
$794.33 / $1,071.52 / $2,454.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,318.26 / $1,949.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,348.96 / $2,041.74
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,318.26 / $2,454.71
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,258.93 / $2,691.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,148.15 / $1,949.84