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Maryland 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
$5,495.41 / $5,495.41 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $776.25 / $1,862.09
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $851.14 / $1,071.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $630.96 / $645.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $933.25 / $1,737.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $891.25 / $1,380.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $707.95 / $2,238.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $831.76 / $1,479.11
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $933.25 / $1,230.27