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Delaware 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
$6,025.60 / $6,025.60 / $7,244.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $776.25 / $1,905.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $776.25 / $1,380.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $2,187.76 / $2,187.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $831.76 / $1,230.27