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Florida 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
$530.64 / $5,291.00 / $11,891.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.83 / $592.03 / $799.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$611.00 / $1,574.05 / $1,873.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.43 / $768.22 / $1,219.33
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,979.00 / $12,804.00 / $23,031.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.00 / $556.74 / $835.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.09 / $425.99 / $749.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,637.00 / $8,267.00 / $12,989.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.19 / $618.55 / $1,085.28
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$472.86 / $472.86 / $563.76