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Pennsylvania 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
$870.98 / $3,793.24 / $8,404.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,431.95 / $7,827.00 / $19,139.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$960.09 / $960.09 / $960.09
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,491.50 / $7,625.22 / $12,745.01
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$878.87 / $4,174.00 / $8,986.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$960.09 / $960.09 / $960.09
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$822.45 / $822.45 / $955.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $3,475.00 / $6,368.00