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Texas 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
$638.00 / $3,078.00 / $10,234.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,485.14 / $8,972.92 / $17,886.03
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $398.64 / $401.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$739.66 / $739.66 / $739.66
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,029.52 / $11,500.00 / $26,542.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.49 / $648.35 / $987.65
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.53 / $649.03 / $1,023.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,154.00 / $3,326.00 / $7,600.00