| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,236.00 | $9,577.00 | $14,552.94 | |
Moda Health
| Facility | $252.49 | $1,330.82 | $1,863.15 | |
Providence
| Facility | $252.49 | $1,330.82 | $1,863.15 |
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); each additional digit (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,236.00 | $9,577.00 | $14,552.94 | |
Moda Health
| Facility | $252.49 | $1,330.82 | $1,863.15 | |
Providence
| Facility | $252.49 | $1,330.82 | $1,863.15 |