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New York 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
$1,000.00 / $4,168.69 / $10,964.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $831.76 / $1,949.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388.44 / $5,888.44 / $12,302.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $691.83 / $1,778.28
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $2,398.83 / $10,964.78
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,071.52 / $1,071.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $1,258.93 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,122.02 / $3,311.31
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $912.01 / $2,818.38
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,202.26 / $1,698.24
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $707.95 / $707.95
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $954.99 / $1,621.81
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,023.29 / $1,023.29
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $954.99 / $2,089.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $5,128.61 / $11,481.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $891.25 / $2,238.72
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $912.01 / $3,548.13
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $912.01 / $2,238.72