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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
$976.00 / $3,830.00 / $8,240.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$586.47 / $658.58 / $1,131.86
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,736.00 / $4,444.00 / $15,949.31
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$677.95 / $703.54 / $1,020.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$781.05 / $781.05 / $781.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$618.66 / $786.90 / $1,372.46
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$814.73 / $1,098.80 / $1,407.25
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.00 / $4,761.00 / $8,404.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$586.47 / $714.40 / $2,337.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$784.50 / $784.50 / $1,380.90
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$781.05 / $781.05 / $781.05
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$618.66 / $804.35 / $1,372.46
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$651.54 / $651.54 / $763.93
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$637.65 / $651.54 / $763.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$814.00 / $2,391.00 / $4,789.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$578.52 / $777.29 / $1,204.83