go back

Texas 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
$649.00 / $3,445.00 / $10,836.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,131.36 / $2,127.96 / $6,541.00
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.52 / $907.20 / $4,050.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $223.93 / $230.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$304.10 / $304.10 / $304.10
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$783.50 / $11,500.00 / $26,542.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$259.49 / $356.58 / $569.66
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$259.49 / $356.58 / $581.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.00 / $949.00 / $2,290.00