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Arizona 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
$1,965.00 / $4,474.00 / $7,960.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.83 / $579.15 / $2,284.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.08 / $301.08 / $301.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$830.45 / $3,126.40 / $5,113.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$636.26 / $727.15 / $908.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.28 / $698.50 / $1,175.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$584.62 / $781.79 / $6,063.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.72 / $651.28 / $6,307.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,766.54 / $3,981.00 / $7,217.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.20 / $603.04 / $1,158.46