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Illinois 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
$1,152.21 / $3,368.00 / $7,694.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,295.45 / $9,156.54 / $19,971.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $3,072.73 / $3,430.33
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$938.39 / $1,407.35 / $3,871.89
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,600.00 / $4,530.00 / $8,566.00