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Pennsylvania 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
$964.01 / $3,494.00 / $8,017.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$755.10 / $885.47 / $1,288.22
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,431.95 / $7,827.00 / $19,139.18
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$896.13 / $929.95 / $929.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,025.26 / $1,025.26 / $1,025.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$839.93 / $1,073.67 / $1,825.09
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,070.15 / $1,445.88 / $1,848.43
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $3,964.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$826.05 / $964.01 / $3,748.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,057.59 / $1,057.59 / $1,913.90
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,025.26 / $1,025.26 / $1,025.26
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$840.22 / $1,097.95 / $1,873.23
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$890.45 / $890.45 / $955.42
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$867.72 / $890.45 / $955.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $3,475.00 / $6,368.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$800.56 / $1,062.70 / $1,758.64