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Maine rates for HCPCS 26500

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$580.54 / $645.29 / $1,131.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$674.42 / $850.63 / $1,315.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$716.48 / $1,030.76 / $1,494.78
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$859.44 / $994.37 / $1,525.42
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$532.51 / $645.29 / $808.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$582.88 / $836.58 / $1,404.25