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Kentucky 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
$758.58 / $1,949.84 / $9,120.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $776.25 / $1,412.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $4,073.80 / $9,549.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $691.83 / $1,071.52
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $933.25 / $1,288.25
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $912.01 / $1,122.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $1,258.93 / $2,290.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,202.26 / $5,248.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $380.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $3,890.45 / $8,511.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $851.14 / $1,380.38