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Virginia 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
$1,123.71 / $5,412.00 / $9,347.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,032.00 / $6,548.00 / $7,221.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.00 / $776.00 / $960.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.88 / $1,040.69 / $1,229.90
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.98 / $1,097.46 / $1,619.51
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$775.98 / $1,044.70 / $3,631.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,121.00 / $9,270.00 / $17,192.00