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Wyoming 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
$765.63 / $785.96 / $1,006.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,767.20 / $2,767.20 / $2,767.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,469.00 / $1,763.00 / $2,666.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$950.31 / $1,425.46 / $2,153.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,200.00 / $4,200.00 / $14,634.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,022.14 / $1,452.96 / $2,334.81