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Texas 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
$945.00 / $3,742.00 / $10,836.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,408.96 / $4,133.55 / $8,384.57
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.60 / $3,046.62 / $7,487.89
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$760.46 / $2,468.48 / $2,468.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$960.09 / $960.09 / $960.09
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,165.80 / $11,500.00 / $26,542.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$792.10 / $992.85 / $1,650.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$796.48 / $992.85 / $1,719.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,634.00 / $4,345.00 / $10,600.00