go back

California 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
$1,992.00 / $7,494.00 / $18,309.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$503.24 / $603.90 / $2,546.66
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.08 / $301.08 / $301.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,776.00 / $8,484.00 / $17,774.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$670.12 / $896.67 / $1,688.70
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $9,616.59
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$477.72 / $693.42 / $1,558.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,813.00 / $3,101.23 / $5,554.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$589.50 / $744.78 / $1,647.18
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.08 / $721.30 / $973.76
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.12 / $801.00 / $1,458.28
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,271.80 / $8,957.00 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,307.00 / $6,307.00 / $6,307.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$643.08 / $798.78 / $1,162.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$595.33 / $788.31 / $1,603.82
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,955.32 / $1,955.32 / $1,955.32
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.40 / $631.94 / $800.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,331.00 / $9,713.00 / $21,278.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.55 / $620.28 / $1,337.28