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Indiana rates for HCPCS 26500

Rcnstj Tendon Pulley Each W/Local Tissues Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.39 / $2,318.00 / $14,063.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.99 / $631.98 / $917.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,146.00 / $9,219.00 / $30,900.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.45 / $665.50 / $924.70
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$619.47 / $805.31 / $929.21
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$619.47 / $684.51 / $929.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,705.12 / $4,705.12 / $5,577.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$614.76 / $805.15 / $1,281.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,400.00 / $3,874.00 / $5,490.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$510.49 / $691.95 / $1,177.45