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Delaware 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
$616.60 / $1,584.89 / $3,090.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $1,174.90 / $2,089.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $870.96 / $1,258.93
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $6,456.54 / $8,709.64
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $707.95 / $831.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $851.14 / $1,621.81