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Tennessee 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
$1,103.00 / $2,678.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.65 / $750.10 / $1,240.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,201.00 / $3,880.00 / $5,774.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$698.78 / $937.29 / $1,490.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$729.51 / $983.17 / $1,493.62
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,802.16 / $8,957.00 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,439.20 / $5,622.08 / $6,474.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,426.00 / $4,722.00 / $7,669.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$639.91 / $846.75 / $1,517.21