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Hawaii 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
$1,635.55 / $2,747.00 / $5,484.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.00 / $626.82 / $992.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.12 / $779.11 / $934.94
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$805.17 / $904.63 / $3,857.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$685.62 / $747.95 / $872.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $2,155.00 / $2,155.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$605.40 / $779.11 / $971.69
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$713.22 / $3,191.04 / $8,000.00