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CPT 26350 Fee Schedule

Medicare rates as of October 2026

CPT 26350 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.

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
Key FactDetail
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 LevelHigh
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:

BCBS / Anthem logo

$1,015.85

BCBS / Anthem

UnitedHealthcare logo

$979.56

UnitedHealthcare

Aetna logo

$1,041.38

Aetna

Cigna logo

$1,231.84

Cigna

Compare published rates across providers.

Choose a payer to see a sample of rates for CPT 26350.

CPT 26350
5 of 25 sample ratesHigher to lower in this preview
  1. Canonsburg General Hospital

    Highmark Health

    PAAmbulatory Surgical Clinic/CenterNPI 1710007596Tax ID 25-1737079

    $8,541.08Published rate
  2. Madison Surgicenter LLC

    WIAmbulatory Surgical Clinic/CenterNPI 1386387116Tax ID 88-1205721

    $4,064.00Published rate
  3. Sun Surgery Center Huntington LLC

    CAAmbulatory Surgical Clinic/CenterNPI 1528572815Tax ID 82-2382700

    $2,500.00Published rate
  4. Pennsylvania Eye & Ear Surgery, PA Eye & Ear Surgery Center, LLC

    Pennsylvania Eye Ear Surgery

    PAAmbulatory Surgical Clinic/CenterNPI 1609848472Tax ID 30-0145589

    $1,898.00Published rate
  5. Eye Institute Surgery Center, LLC

    Eye Institute Surgery Center LLC

    FLAmbulatory Surgical Clinic/CenterNPI 1548274061Tax ID 20-0314591

    $617.00Published rate

National sample. Rates vary by location, specialty, and contract.

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CPT 26350 vs. Other Surgical Procedures on the Musculoskeletal System Codes

The table lists codes related to 26350. Select one to see its fee schedule.

CodeComplexityDescription
26121-CPTModerateRelease Palm Contracture, Fasciectomy Palm Only With Or Without Z Plasty Other Local Tissue Rearrangement Or Skin Grafting Includes Obtaining Graft
26123-CPTHighRelease 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-CPTModerateRelease 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-CPTHighRepair 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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