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Kansas 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
$1,700.00 / $6,071.00 / $12,237.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.39 / $628.26 / $956.21
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$521.52 / $521.52 / $521.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,339.50 / $2,119.73 / $3,130.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$797.26 / $937.95 / $937.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.00 / $624.00 / $624.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$632.83 / $797.79 / $1,258.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$611.04 / $956.21 / $6,239.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$619.04 / $747.97 / $6,307.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,900.00 / $2,843.00 / $6,239.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.29 / $712.44 / $986.45