go back

Indiana 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
$562.51 / $2,318.00 / $14,063.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$503.24 / $562.51 / $1,026.86
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$523.64 / $523.64 / $523.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,807.00 / $7,833.00 / $14,645.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$502.42 / $888.30 / $1,225.84
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$585.65 / $771.68 / $1,157.52
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$551.20 / $689.00 / $992.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,116.34 / $2,116.34 / $2,508.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$593.89 / $773.28 / $1,267.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,719.19 / $7,672.00 / $11,284.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.52 / $646.76 / $1,206.48