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Texas 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
$921.00 / $3,682.00 / $12,377.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$655.02 / $765.63 / $1,272.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,460.41 / $4,352.55 / $9,252.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$708.25 / $895.42 / $1,208.72
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $720.91 / $721.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$857.48 / $857.48 / $857.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$727.38 / $942.95 / $1,477.26
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,802.16 / $11,500.00 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,439.20 / $5,622.08 / $6,474.08
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$715.21 / $921.42 / $1,427.92
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$925.51 / $1,110.61 / $1,377.16
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$959.40 / $959.40 / $959.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$719.44 / $921.42 / $1,479.73
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$734.75 / $984.71 / $1,518.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,634.00 / $4,345.00 / $10,600.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$564.62 / $752.83 / $1,209.80
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$631.91 / $712.16 / $999.31