go back

Michigan 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
$763.78 / $962.37 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$568.95 / $763.79 / $1,050.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,852.42 / $2,159.06 / $2,925.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.79 / $586.04 / $1,233.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$561.59 / $744.06 / $2,719.21
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$763.79 / $989.46 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$669.91 / $813.44 / $1,145.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.25 / $549.17 / $906.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,527.00 / $3,640.00 / $6,740.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$754.70 / $907.12 / $1,182.95