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Nebraska 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
$2,731.68 / $8,477.27 / $20,928.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,306.43 / $5,664.13 / $10,956.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$242.12 / $423.71 / $1,242.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$415.11 / $622.17 / $1,285.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,031.00 / $1,775.00 / $4,406.00