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Nebraska 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
$5,011.87 / $7,943.28 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $776.25 / $1,949.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $5,623.41 / $10,964.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,174.90 / $1,659.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $2,454.71 / $2,454.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,621.81 / $2,187.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $1,230.27 / $8,709.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,348.96 / $5,623.41
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $1,621.81 / $2,398.83
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $2,454.71 / $2,454.71
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $1,737.80 / $2,398.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $5,495.41 / $8,912.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,288.25 / $1,819.70