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Thumb Rebuilt With Great-Toe Tissue And Bone Graft

South Dakota 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 $4,365 · 10th–90th $3,236$7,4130%20%10th90th$4,365Professionalmedian $4,266 · 10th–90th $3,020$8,1280%10%10th90th$4,266$5.0K$10.0K$20.0K

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
$3,235.94
Median
$3,235.94
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$3,235.94
Typical High
$6,760.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6,165.95
Median
$7,413.10
Typical High
$9,332.54
Medica
Setting
Facility
Modifier
Global
Typical Low
$4,265.80
Median
$5,248.07
Typical High
$7,413.10
Medica
Setting
Professional
Modifier
Global
Typical Low
$3,019.95
Median
$6,025.60
Typical High
$23,988.33
Midlands
Setting
Professional
Modifier
Global
Typical Low
$6,165.95
Median
$7,413.10
Typical High
$7,413.10
Midlands
Setting
Professional
Modifier
Global
Typical Low
$6,165.95
Median
$6,165.95
Typical High
$7,413.10
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$3,388.44
Median
$5,495.41
Typical High
$6,456.54
United
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$14,791.08
United
Setting
Professional
Modifier
Global
Typical Low
$3,019.95
Median
$5,011.87
Typical High
$8,912.51
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$6,309.57
Median
$7,762.47
Typical High
$7,762.47