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Arizona 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
$1,965.00 / $4,474.00 / $7,960.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$582.33 / $685.84 / $1,399.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$830.45 / $3,126.40 / $5,113.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$787.22 / $899.68 / $1,124.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$626.79 / $867.84 / $1,396.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$720.13 / $980.75 / $6,063.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$611.30 / $777.05 / $5,622.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,892.00 / $4,545.00 / $7,217.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.10 / $721.34 / $1,382.16