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West 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
$812.83 / $8,128.31 / $8,128.31
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $891.25 / $1,071.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $1,445.44 / $2,290.87
Cigna
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$1,698.24 / $1,698.24 / $1,698.24
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $8,511.38 / $19,498.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $2,884.03 / $9,120.11