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Vermont 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
Professional
Modifier
Low / Median / High Price
$616.60 / $851.14 / $1,905.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,096.48 / $1,288.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $1,023.29 / $1,621.81
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $977.24 / $1,258.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,023.29 / $3,019.95