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Pennsylvania 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
$749.00 / $3,494.00 / $8,017.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $707.26 / $1,350.09
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,824.00 / $4,354.00 / $8,459.92
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$802.80 / $833.10 / $1,441.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.49 / $807.06 / $1,431.32
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$970.36 / $1,247.59 / $1,290.78
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,415.50 / $3,596.42 / $6,120.54
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$673.14 / $673.14 / $758.38
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$928.54 / $3,745.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$578.16 / $803.89 / $1,762.84
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$628.26 / $812.32 / $1,207.71
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,102.35 / $1,102.35 / $1,102.35
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$614.92 / $820.73 / $1,506.92
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$623.83 / $634.04 / $786.44
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$623.83 / $743.12 / $840.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$637.00 / $2,391.00 / $6,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$687.72 / $856.40 / $1,486.80