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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
$739.00 / $2,397.00 / $4,050.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$685.84 / $912.76 / $1,233.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,371.17 / $5,009.01 / $7,389.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$791.11 / $973.13 / $1,249.97
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $720.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,350.00 / $1,350.00 / $1,350.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$693.12 / $1,026.85 / $1,325.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.00 / $3,238.00 / $9,160.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$617.32 / $805.53 / $1,463.52