| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $651.28 | $2,283.30 | $8,622.00 | |
Moda Health
| Facility | $259.70 | $525.64 | $645.80 | |
United
| Facility | $150.00 | $1,800.00 | $9,193.00 |
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 | $651.28 | $2,283.30 | $8,622.00 | |
Moda Health
| Facility | $259.70 | $525.64 | $645.80 | |
United
| Facility | $150.00 | $1,800.00 | $9,193.00 |