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Virginia 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
$1,349.50 / $5,360.00 / $10,081.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$664.12 / $782.90 / $1,166.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,032.00 / $6,548.00 / $7,221.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.48 / $903.90 / $1,494.41
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$778.50 / $876.35 / $5,113.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.00 / $776.00 / $857.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$721.71 / $944.66 / $1,644.74
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$722.06 / $934.43 / $1,104.32
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$735.01 / $923.76 / $1,432.71
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$868.00 / $1,006.60 / $1,418.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$713.32 / $938.22 / $3,151.59
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$713.32 / $938.22 / $3,151.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,121.00 / $9,270.00 / $17,192.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$567.23 / $929.81 / $1,415.23