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Wisconsin 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
$588.84 / $1,258.93 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $741.31 / $1,819.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $7,943.28 / $13,182.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $1,230.27 / $3,162.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $1,862.09 / $3,090.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $2,570.40 / $3,090.30
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $1,230.27 / $6,456.54
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,445.44 / $1,862.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $1,258.93 / $11,220.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $1,071.52 / $6,309.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,348.96 / $2,041.74
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $6,025.60 / $8,912.51
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $2,884.03 / $6,309.57
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $3,311.31 / $3,801.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $10,232.93 / $12,589.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $891.25 / $2,454.71