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Thumb Rebuilt With Great-Toe Tissue And Bone Graft

New Jersey rates for HCPCS 26551

Microsurgery that rebuilds a missing thumb using the soft-tissue covering of the great toe: the skin, nail and pulp are lifted from the toe with their own artery, veins and nerves, wrapped around a bone graft shaped to form the new thumb, and the vessels and nerves are joined to those of the hand under a microscope. The skeleton of the great toe stays in the foot, and the raw area left there is resurfaced. The rebuilt thumb is intended to restore pinch and grip.

Facilitymedian $7,586 · 10th–90th $4,467$11,7490%10%10th90th$7,586Professionalmedian $3,467 · 10th–90th $2,884$10,7150%10%20%10th90th$3,467$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$7,413.10
Typical High
$11,748.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$3,388.44
Typical High
$10,232.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,951.21
Median
$4,365.16
Typical High
$10,000.00
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$3,090.30
Median
$3,715.35
Typical High
$5,128.61
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$14,454.40
Median
$19,952.62
Typical High
$38,018.94
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,951.21
Median
$3,890.45
Typical High
$15,135.61
United
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$8,709.64
Typical High
$15,488.17
United
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$3,467.37
Typical High
$7,943.28