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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
$788.13 / $2,095.00 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$664.12 / $763.43 / $1,272.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,855.07 / $9,886.35 / $15,341.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$648.79 / $902.74 / $1,371.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.04 / $1,018.56 / $1,353.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,152.18
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$685.84 / $850.00 / $1,054.27
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$721.41 / $1,086.46 / $1,785.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$790.00 / $9,127.00 / $13,891.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$759.39 / $1,030.49 / $1,589.41