go back

West Virginia 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
$612.17 / $750.14 / $1,700.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$568.95 / $699.31 / $1,050.68
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$687.48 / $764.47 / $832.91
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$740.36 / $740.36 / $740.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,102.35 / $1,102.35 / $1,102.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.97 / $863.75 / $2,042.94
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,483.49 / $3,483.49 / $3,767.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$619.08 / $889.93 / $1,229.66