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South Carolina 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
$1,862.09 / $10,471.29 / $18,197.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $776.25 / $1,548.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $6,165.95 / $11,481.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $758.58 / $1,047.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $1,096.48 / $1,258.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $933.25 / $1,548.82
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,230.27 / $1,778.28
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $977.24 / $1,621.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $13,182.57 / $23,442.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $758.58 / $1,230.27