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Washington, DC 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
$1,017.00 / $4,100.00 / $6,945.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.00 / $635.88 / $635.88
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$657.73 / $689.66 / $4,443.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$611.27 / $1,071.94 / $1,683.69
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.19 / $1,405.39 / $1,405.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,648.00 / $3,378.00 / $26,408.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.09 / $789.57 / $1,701.55