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Alaska rates for HCPCS 26502

Reconstruction of tendon pulley, each tendon; with tendon or fascial graft (includes obtaining graft) (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $10,000.00 / $16,982.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $912.01 / $2,137.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $2,290.87 / $3,311.31
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $1,258.93 / $5,011.87
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $2,398.83 / $3,981.07
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $3,090.30 / $4,265.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $1,230.27 / $3,981.07
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $954.99 / $2,290.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $3,162.28 / $4,073.80