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Louisiana rates for HCPCS 26500

Reconstruction of tendon pulley, each tendon; with local tissues (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $2,570.40 / $5,888.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $707.95 / $1,202.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $6,309.57 / $14,125.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $891.25 / $1,096.48
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $660.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $1,348.96 / $1,348.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $891.25 / $1,230.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $1,621.81 / $7,585.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $691.83 / $1,122.02