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New Mexico 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
$1,148.15 / $1,174.90 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $776.25 / $1,348.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $10,232.93 / $15,848.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $912.01 / $1,380.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $977.24 / $2,630.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $213.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $933.25 / $1,445.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,096.48 / $1,778.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $9,120.11 / $14,125.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,000.00 / $1,412.54