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New York 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
$1,024.07 / $5,324.00 / $11,860.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,248.00 / $5,196.00 / $11,909.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,181.81 / $2,390.00 / $10,957.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$960.09 / $960.09 / $960.09
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $1,059.00 / $2,251.76
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$796.05 / $796.05 / $796.05
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,340.76 / $4,150.66 / $12,216.78
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $960.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,264.00 / $5,248.00 / $11,200.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.08 / $1,013.08 / $3,427.71