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Missouri 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
$776.51 / $4,498.00 / $10,085.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$511.31 / $611.04 / $1,246.52
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.08 / $301.08 / $521.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$573.87 / $725.07 / $1,100.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$563.22 / $808.98 / $1,297.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$558.25 / $954.36 / $8,660.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.42 / $832.79 / $6,307.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,120.00 / $2,661.06 / $5,740.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.39 / $746.18 / $1,302.33