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Missouri 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
$904.67 / $4,908.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.52 / $770.24 / $1,399.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.28 / $863.92 / $1,276.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$678.45 / $969.77 / $1,617.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$677.80 / $1,150.38 / $8,957.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$699.16 / $1,007.94 / $5,622.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,708.00 / $3,347.00 / $6,854.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$677.55 / $880.76 / $1,527.01