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Idaho 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
$1,457.82 / $1,457.82 / $8,622.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.00 / $776.82 / $1,225.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,895.78 / $1,895.78 / $1,901.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$677.04 / $909.52 / $1,050.81
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$572.69 / $1,074.11 / $1,411.76
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$988.45 / $1,078.31 / $1,410.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $955.22 / $1,064.39
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,490.98 / $7,849.65 / $9,927.16
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,038.44 / $1,221.69 / $1,410.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,500.00 / $9,360.00 / $17,870.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$649.42 / $888.90 / $1,275.01