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North Dakota 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
$724.44 / $776.25 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $724.44 / $1,905.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,659.59 / $1,949.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,445.44 / $2,398.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $933.25 / $2,187.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,258.93 / $5,623.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $5,128.61 / $6,309.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,318.26 / $1,737.80