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Washington 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
$1,454.54 / $9,350.64 / $17,930.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,490.98 / $9,167.59 / $17,907.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$883.20 / $1,075.31 / $3,740.43
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$866.52 / $1,770.08 / $3,280.24
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,170.11 / $1,603.31 / $1,711.18
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$986.25 / $1,126.16 / $2,961.46
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,013.44 / $9,167.59 / $17,546.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $3,129.00 / $11,941.00