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Nebraska 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
$3,752.78 / $7,120.36 / $20,928.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,306.43 / $5,664.13 / $10,956.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,368.73 / $2,368.73 / $2,368.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$770.66 / $1,348.66 / $5,405.32
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,285.00 / $1,933.57 / $2,961.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,341.00 / $7,441.00 / $8,816.00