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North Dakota 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
$595.99 / $595.99 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$503.24 / $595.99 / $752.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,217.74 / $1,339.57 / $1,570.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.92 / $1,496.23 / $1,992.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$595.99 / $790.32 / $1,037.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$621.82 / $1,109.39 / $1,545.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$621.82 / $1,063.46 / $1,286.33