go back

Montana rates for HCPCS 26125

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
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,910.25 / $1,910.25 / $1,910.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,999.99 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$420.64 / $420.64 / $420.64
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.09 / $286.12 / $421.02