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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
$1,000.00 / $3,715.35 / $12,882.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $794.33 / $1,318.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $4,466.84 / $9,120.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $851.14 / $1,174.90
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $724.44 / $724.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $954.99 / $1,548.82
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,912.51 / $33,884.42 / $33,884.42
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,495.41 / $6,456.54 / $11,481.54
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $1,023.29 / $4,073.80
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $977.24 / $1,348.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $97.72 / $645.65
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $954.99 / $954.99
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $954.99 / $1,548.82
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $954.99 / $1,548.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $5,248.07 / $10,964.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $758.58 / $1,174.90
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $758.58 / $758.58