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West 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
$584.82 / $917.02 / $2,300.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.00 / $635.88 / $894.96
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$640.11 / $710.16 / $773.74
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.89 / $687.77 / $687.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.92 / $688.92 / $688.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$584.29 / $860.23 / $1,675.00
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,512.89 / $4,512.89 / $26,844.37
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$983.05 / $983.05 / $983.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.55 / $737.86 / $945.68