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Louisiana 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
$912.01 / $2,570.40 / $5,888.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $812.83 / $1,513.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $5,011.87 / $7,413.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $977.24 / $1,202.26
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $724.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $1,348.96 / $1,348.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $1,000.00 / $1,412.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $3,467.37 / $8,511.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $794.33 / $1,258.93