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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
$726.07 / $726.07 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$603.62 / $726.07 / $777.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,505.07 / $1,655.65 / $1,941.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$987.95 / $1,872.61 / $2,494.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$726.07 / $939.32 / $1,292.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$752.83 / $1,331.98 / $1,888.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$752.83 / $1,251.20 / $1,567.08