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See a sample rate comparisonCPT 26350 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 24 - Ambulatory Surgical Center 22 - On Campus Outpatient Hospital |
| Common Modifiers | LT - Left side of body RT - Right side of body |
| Complexity Level | High |
| Medicare Fee Schedule | $738.83 national non-facility rate (2026) · View Medicare rates for 26350 |
| Medicaid Fee Schedule | $600.475 median of the 8 states in the free preview · View Medicaid rates for 26350 |
National average reimbursement for CPT 26350 by major payers:

$1,015.85
BCBS / Anthem

$979.56
UnitedHealthcare

$1,041.38
Aetna

$1,231.84
Cigna
Choose a payer to see a sample of rates for CPT 26350.
Canonsburg General Hospital
Highmark Health
Madison Surgicenter LLC
Sun Surgery Center Huntington LLC
Pennsylvania Eye & Ear Surgery, PA Eye & Ear Surgery Center, LLC
Pennsylvania Eye Ear Surgery
Eye Institute Surgery Center, LLC
Eye Institute Surgery Center LLC
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 26350 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 26350. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 26121-CPT | Moderate | Release Palm Contracture, Fasciectomy Palm Only With Or Without Z Plasty Other Local Tissue Rearrangement Or Skin Grafting Includes Obtaining Graft |
| 26123-CPT | High | Release Palm Contracture, Fasciectomy Partial Palmar With Release Of Single Digit Including Proximal Interphalangeal Joint With Or Without Z Plasty Other Local Tissue Rearrangement Or Skin Grafting Includes Obtaining Graft |
| 26125-CPT | Moderate | Release Palm Contracture, Fasciectomy Partial Palmar With Release Of Single Digit Including Proximal Interphalangeal Joint With Or Without Z Plasty Other Local Tissue Rearrangement Or Skin Grafting Includes Obtaining Graft Each Additional Digit List Separately In Addition To Code For Primary Procedure |
| 26350-CPT | High | Repair Finger Hand Tendon, Repair Or Advancement Flexor Tendon Not In Zone 2 Digital Flexor Tendon Sheath Eg No Man S Land Primary Or Secondary Without Free Graft Each Tendon |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 26350. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 26350 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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