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Texas 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
$720.35 / $2,757.00 / $8,780.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$568.95 / $720.35 / $1,062.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,444.24 / $2,580.16 / $5,456.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$599.29 / $768.87 / $1,120.69
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$499.80 / $1,569.74 / $2,299.46
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$586.16 / $1,248.95 / $1,248.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$664.34 / $864.08 / $1,326.77
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,303.20 / $26,542.00 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,719.43 / $5,852.72 / $6,931.13
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$612.71 / $807.67 / $1,146.63
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.75 / $1,089.89 / $1,478.24
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$631.92 / $821.93 / $1,112.31
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$612.71 / $807.67 / $1,187.59
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$686.50 / $913.36 / $1,471.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.00 / $2,064.00 / $4,554.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$618.49 / $824.65 / $1,254.29
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$678.30 / $766.08 / $1,072.51