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Montana 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 / $974.66 / $4,646.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.95 / $1,445.95 / $1,445.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.95 / $1,445.95 / $1,445.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$717.38 / $1,429.97 / $1,445.95
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$708.68 / $974.44 / $1,445.95
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$886.71 / $1,429.97 / $1,918.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,188.16 / $1,415.68 / $1,617.92