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Arizona 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
$1,737.80 / $3,630.78 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $891.25 / $2,454.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $2,041.74 / $3,019.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $724.44 / $1,174.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $831.76 / $1,548.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $912.01 / $3,311.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $954.99 / $6,456.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $2,041.74 / $4,786.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $794.33 / $1,096.48