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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
$2,236.00 / $9,774.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$713.04 / $3,587.73 / $3,587.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,802.56 / $2,296.73 / $3,307.61
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$713.04 / $3,587.73 / $5,022.82
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,851.03 / $2,221.23 / $4,509.33
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,505.00 / $3,546.20 / $4,435.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$713.04 / $3,587.73 / $5,022.82
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,085.81 / $3,430.00 / $4,435.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,837.38 / $2,771.88 / $4,042.24