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Iowa 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
$1,071.52 / $3,801.89 / $6,760.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $1,096.48 / $3,981.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $2,041.74 / $2,570.40
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $1,096.48 / $2,290.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,995.26 / $5,495.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,621.81 / $2,691.53
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $1,905.46 / $2,344.23
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $1,148.15 / $1,819.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $5,011.87 / $6,760.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,122.02 / $2,137.96
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,513.56 / $1,819.70