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Arizona rates for HCPCS 26123

Fasciectomy, partial palmar with release of single digit including proximal interphalangeal joint, 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
$1,671.00 / $4,005.00 / $7,960.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$830.45 / $3,106.86 / $5,113.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$797.36 / $1,079.67 / $6,063.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,892.00 / $4,545.00 / $7,217.00