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Alabama 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
$707.95 / $1,445.44 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $851.14 / $1,698.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $3,235.94 / $4,365.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $812.83 / $954.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $794.33 / $2,570.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $1,737.80 / $3,090.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $724.44 / $954.99