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Massachusetts 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
$1,924.00 / $2,747.00 / $5,039.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.65 / $763.43 / $1,272.11
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,485.00 / $4,402.00 / $9,401.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$788.20 / $1,338.46 / $5,439.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,012.86 / $1,501.71 / $2,034.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$784.16 / $1,281.58 / $2,167.11
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$762.31 / $1,669.84 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$874.75 / $1,064.52 / $1,469.46
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$937.57 / $1,858.64 / $2,451.84
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $5,268.00 / $26,542.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$810.01 / $1,393.64 / $5,439.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $4,983.00 / $8,810.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$810.01 / $1,181.42 / $2,328.46