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Oklahoma 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
$1,346.00 / $4,192.00 / $13,200.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.00 / $628.26 / $636.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,227.34 / $8,304.37 / $13,120.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.00 / $771.78 / $913.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,545.78 / $2,545.78 / $2,545.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.96 / $772.63 / $981.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$628.26 / $913.00 / $6,840.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528.54 / $681.07 / $6,307.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,157.00 / $3,858.00 / $7,077.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.97 / $621.82 / $891.94