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Iowa 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
$4,146.00 / $5,091.00 / $7,120.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.00 / $752.75 / $1,307.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,098.00 / $1,381.34 / $1,726.68
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557.83 / $946.91 / $2,339.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$952.91 / $1,488.26 / $7,896.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$622.28 / $1,221.45 / $6,307.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,115.88 / $1,553.00 / $2,961.89
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$897.84 / $1,347.89 / $1,775.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,341.00 / $6,588.00 / $10,320.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$594.00 / $905.14 / $1,652.34
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$938.92 / $1,188.50 / $1,398.30