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Maine 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
$3,622.07 / $3,889.98 / $7,813.10
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,622.07 / $3,622.07 / $3,622.07