go back

Missouri 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
$693.64 / $3,589.00 / $7,996.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.37 / $693.65 / $2,020.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $1,963.00 / $4,958.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$610.00 / $775.56 / $1,208.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$611.46 / $914.52 / $1,555.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.01 / $1,040.48 / $5,764.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$695.57 / $1,041.31 / $6,000.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,216.00 / $2,261.00 / $3,071.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$636.88 / $850.58 / $1,498.85