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Open Repair of Broken Fingertip Bone

Georgia rates for HCPCS 26765

Repairs a break in the last bone of a finger or thumb through an incision, so the pieces can be positioned under direct view and held with a pin, small screw or wire when fixation is needed. It is used when the fragment involves the joint or nail bed or will not stay in place otherwise. It covers one digit; additional ones are billed separately.

Facilitymedian $4,571 · 10th–90th $1,230$7,4130%5%10%10th90th$4,571Professionalmedian $646 · 10th–90th $525$8710%20%10th90th$646$500.0$1.0K$2.0K$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$5,370.32
Typical High
$8,317.64
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$3,162.28
Typical High
$6,606.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$2,187.76
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$645.65
Typical High
$870.96
United
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$3,890.45
Typical High
$6,606.93