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Arizona rates for HCPCS 14001

Adjacent tissue transfer or rearrangement, trunk; defect 10.1 sq cm to 30.0 sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,270.21 / $3,057.00 / $7,283.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$568.95 / $739.64 / $1,259.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.35 / $2,515.38 / $4,140.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$472.96 / $628.36 / $780.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$614.90 / $758.49 / $1,346.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$612.71 / $786.43 / $3,047.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$686.43 / $818.58 / $6,000.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.00 / $2,567.00 / $5,105.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$672.52 / $776.90 / $1,031.96