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Michigan 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
$769.66 / $878.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$515.08 / $613.54 / $992.18
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$629.49 / $629.49 / $629.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,851.90 / $3,347.30 / $4,535.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.05 / $662.88 / $1,538.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$444.90 / $698.69 / $1,285.98
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$608.30 / $799.25 / $6,665.74
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.12 / $660.23 / $998.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.50 / $397.61 / $671.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,500.00 / $6,978.00 / $9,202.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.90 / $708.12 / $996.49