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Nebraska 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
$4,083.97 / $8,477.27 / $19,276.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$837.22 / $837.22 / $4,646.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,306.43 / $5,664.13 / $10,956.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$802.60 / $1,368.06 / $1,824.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,368.73 / $2,368.73 / $2,368.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,409.00 / $1,978.03 / $2,573.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$837.22 / $1,507.00 / $5,405.32
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,062.56 / $1,736.10 / $2,431.30
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,089.00 / $2,083.92 / $3,000.40
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,427.02 / $1,882.28 / $2,520.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,341.00 / $7,441.00 / $8,816.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,062.56 / $1,757.30 / $2,262.09