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Delaware rates for HCPCS 28202

Repair, tendon, flexor, foot; secondary with free graft, each tendon (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,736.00 / $6,907.00 / $7,400.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,191.22 / $5,191.22 / $5,191.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,485.00 / $1,485.00 / $1,485.00