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New Hampshire 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
$100.00 / $2,197.57 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$580.54 / $625.65 / $866.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,512.20 / $9,458.00 / $17,400.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$674.42 / $1,132.24 / $1,723.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$781.05 / $2,472.40 / $2,558.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$857.21 / $1,237.64 / $2,009.42
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$772.08 / $1,266.67 / $2,383.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,611.00 / $8,611.00 / $8,611.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$779.76 / $1,046.44 / $1,921.56
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$509.32 / $560.25 / $713.05