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Virginia 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
$308.39 / $4,511.00 / $9,347.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$304.10 / $304.10 / $776.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.92 / $323.74 / $377.03
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$276.17 / $365.46 / $552.50
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.95 / $358.16 / $819.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.00 / $1,045.00 / $2,364.00