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Alaska rates for HCPCS 14021

Adjacent tissue transfer or rearrangement, scalp, arms and/or legs; defect 10.1 sq cm to 30.0 sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $9,772.37 / $14,125.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $851.14 / $3,388.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $2,344.23 / $2,754.23
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $977.24 / $5,888.44
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $1,995.26 / $2,818.38
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $2,884.03 / $3,801.89
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $977.24 / $4,897.79
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $1,174.90 / $2,630.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $2,238.72 / $2,818.38