go back

New Hampshire rates for HCPCS 14000

Adjacent tissue transfer or rearrangement, trunk; defect 10 sq cm or less

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $1,778.28 / $7,244.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $537.03 / $794.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $1,737.80 / $3,019.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $794.33 / $1,202.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $1,819.70 / $1,819.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $831.76 / $1,584.89
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,709.64 / $8,709.64 / $8,709.64
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $1,000.00 / $1,778.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,709.64 / $8,709.64 / $8,709.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $891.25 / $1,737.80
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $660.69 / $812.83