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North Carolina 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
$749.58 / $1,245.00 / $10,561.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$664.12 / $763.43 / $1,399.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,226.87 / $2,226.87 / $2,259.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$845.83 / $1,141.36 / $1,930.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$748.70 / $748.70 / $2,710.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$788.77 / $1,076.61 / $1,742.79
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$749.58 / $944.95 / $1,504.74
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$716.00 / $868.00 / $974.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $1,002.60 / $1,895.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,248.00 / $9,541.00 / $14,589.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$603.16 / $889.65 / $1,920.27
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,802.16 / $8,957.00 / $26,542.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,439.20 / $5,439.20 / $6,474.08