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California 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
$2,951.21 / $8,128.31 / $18,197.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $851.14 / $3,235.94
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $851.14 / $870.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $8,128.31 / $15,848.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $954.99 / $2,344.23
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $2,398.83 / $8,709.64
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $977.24 / $2,137.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $954.99 / $1,819.70
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $851.14 / $1,318.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $977.24 / $1,698.24
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,623.41 / $45,708.82 / $45,708.82
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,309.57 / $7,413.10 / $7,413.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $741.31 / $1,230.27
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $912.01 / $1,348.96
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $954.99 / $1,862.09
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $2,344.23 / $2,818.38
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $602.56 / $954.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $4,365.16 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $812.83 / $1,584.89