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Pennsylvania 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
$1,288.25 / $5,370.32 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $707.95 / $1,584.89
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $4,466.84 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,023.29 / $1,148.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $1,148.15 / $1,148.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $776.25 / $1,348.96
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,122.02 / $1,412.54
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $851.14 / $1,318.26
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,135.61 / $15,135.61 / $15,135.61
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $812.83 / $812.83
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $4,786.30 / $8,511.38
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $891.25 / $1,949.84
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $707.95 / $1,412.54
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $912.01 / $1,412.54
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $575.44 / $758.58
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $575.44 / $758.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $2,754.23 / $22,387.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $741.31 / $1,174.90