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Nebraska 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
$3,752.78 / $10,431.19 / $20,928.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$503.24 / $553.00 / $2,915.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,306.43 / $5,664.13 / $10,956.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.47 / $912.74 / $1,216.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,368.73 / $2,368.73 / $2,368.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.00 / $1,334.73 / $1,775.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$553.00 / $1,013.26 / $5,405.32
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$726.60 / $1,215.69 / $1,652.34
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,098.00 / $1,488.26 / $2,961.89
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,005.00 / $1,347.89 / $1,775.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,529.66 / $6,178.00 / $8,816.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$726.60 / $1,104.43 / $1,474.43