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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
$2,137.96 / $4,677.35 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $776.25 / $2,137.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $2,511.89 / $3,801.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,071.52 / $1,949.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $870.96 / $1,412.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $1,047.13 / $6,309.57
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $851.14 / $5,623.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $4,073.80 / $7,244.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $741.31 / $1,318.26