go back

Montana 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
Professional
Modifier
Low / Median / High Price
$503.24 / $549.00 / $2,284.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$963.79 / $963.79 / $963.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$963.79 / $963.79 / $963.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.88 / $963.79 / $995.22
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.42 / $657.82 / $963.79
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$577.45 / $962.47 / $1,249.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$809.80 / $982.10 / $1,127.95