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Wisconsin rates for HCPCS 14020

Adjacent tissue transfer or rearrangement, scalp, arms and/or legs; defect 10 sq cm or less

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $1,174.90 / $6,456.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $707.95 / $2,398.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $4,570.88 / $7,079.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,348.96 / $2,951.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $2,187.76 / $3,467.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $1,258.93 / $2,089.30
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $1,445.44 / $4,897.79
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,513.56 / $2,089.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $1,348.96 / $5,128.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $1,202.26 / $4,168.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $1,659.59
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,584.89 / $2,344.23
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $5,623.41 / $5,623.41
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $1,023.29 / $5,128.61
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $2,398.83 / $3,019.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $3,801.89 / $6,606.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $933.25 / $2,398.83