go back

Utah rates for HCPCS 26554

Transfer, toe-to-hand with microvascular anastomosis; other than great toe, double

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $6,025.60 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,162.28 / $4,570.88 / $20,417.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,235.94 / $4,570.88 / $8,317.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $2,884.03
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,232.93 / $12,022.64 / $26,302.68
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,897.79 / $6,606.93 / $8,912.51
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,388.44 / $6,918.31 / $9,332.54
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,677.35 / $6,025.60 / $8,709.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $5,128.61 / $13,803.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,019.95 / $3,890.45 / $6,025.60