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Washington, DC 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
$1,412.54 / $5,128.61 / $6,918.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $776.25 / $1,995.26
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $3,548.13 / $8,128.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $912.01 / $2,187.76
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,445.44 / $1,778.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $13,489.63 / $26,915.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $977.24 / $2,089.30