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Alaska rates for HCPCS 26121

Fasciectomy, palm only, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,491.25 / $6,163.20 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.20 / $2,915.56 / $4,227.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,462.80 / $1,947.10 / $2,601.81
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$573.48 / $2,915.56 / $4,081.78
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,497.65 / $1,797.18 / $3,648.44
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,147.50 / $2,963.56 / $3,666.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$573.48 / $2,915.56 / $4,081.78
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.97 / $2,929.10 / $3,781.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,557.68 / $2,725.94 / $3,426.90