go back

Utah rates for HCPCS 26040

Fasciotomy, palmar (eg, Dupuytren's contracture); percutaneous

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $4,570.88 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $416.87 / $1,479.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $416.87 / $676.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $245.47
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $2,691.53 / $6,025.60
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $588.84 / $741.31
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $616.60 / $977.24
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $501.19 / $707.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $4,466.84 / $5,128.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $323.59 / $537.03