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Oklahoma 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
$1,288.25 / $3,890.45 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $776.25 / $1,479.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $7,762.47 / $12,589.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $891.25 / $1,023.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $2,570.40 / $2,570.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $912.01 / $1,148.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $1,412.54 / $7,244.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $831.76 / $5,623.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $4,265.80 / $8,317.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $724.44 / $1,023.29