go back

Virginia 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
$1,048.68 / $5,328.00 / $9,347.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.00 / $635.88 / $980.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,032.00 / $6,548.00 / $7,221.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$563.32 / $720.37 / $1,190.98
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$657.73 / $689.66 / $3,019.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.92 / $688.92 / $776.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$586.83 / $793.85 / $1,309.74
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$583.16 / $747.11 / $882.95
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$620.32 / $793.55 / $1,163.66
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$742.00 / $841.82 / $1,161.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$559.69 / $772.86 / $2,602.61
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$559.69 / $772.86 / $2,602.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,121.00 / $9,270.00 / $17,192.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$464.15 / $737.86 / $1,125.16