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Michigan 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
$1,072.22 / $4,933.00 / $14,292.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,188.18 / $4,915.68 / $6,659.98
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$846.24 / $4,933.00 / $14,292.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,500.00 / $7,780.00 / $9,202.00