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Delaware 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
$5,816.00 / $5,816.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$527.61 / $603.40 / $1,512.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,732.57 / $1,732.57 / $1,732.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$538.99 / $628.45 / $1,089.48
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,825.85 / $8,825.85 / $8,825.85
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$760.19 / $760.19 / $760.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,200.00 / $2,200.00 / $2,200.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.64 / $658.69 / $1,364.42