| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $413.15 | $4,043.18 | $4,043.18 | |
CareSource
| Facility | $284.51 | $319.95 | $348.60 | |
Cigna
| Facility | $304.10 | $304.10 | $304.10 |
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 | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $413.15 | $4,043.18 | $4,043.18 | |
CareSource
| Facility | $284.51 | $319.95 | $348.60 | |
Cigna
| Facility | $304.10 | $304.10 | $304.10 |