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New York 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
$356.46 / $4,676.27 / $10,140.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,046.00 / $7,264.00 / $12,538.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.17 / $2,390.00 / $10,957.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$304.10 / $304.10 / $14,648.00
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$283.89 / $415.00 / $702.72
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$249.04 / $249.04 / $249.04
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,054.07 / $3,054.07 / $3,054.07
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$304.10 / $555.00 / $597.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$964.00 / $2,826.00 / $4,851.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$317.80 / $317.80 / $1,364.35