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Minnesota 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
$776.25 / $776.25 / $6,760.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $776.25 / $1,412.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,168.69 / $7,585.78 / $15,488.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,819.70 / $2,754.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $2,818.38 / $6,760.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $2,238.72 / $3,388.44
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $2,691.53 / $5,248.07
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $1,905.46 / $3,019.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $1,445.44 / $6,918.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,380.38 / $4,168.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $5,011.87 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,318.26 / $2,630.27