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Kansas 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
$1,023.29 / $3,801.89 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $812.83 / $1,445.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $2,818.38 / $2,951.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,023.29 / $1,230.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $501.19 / $501.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,023.29 / $1,548.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $1,047.13 / $5,011.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,000.00 / $6,456.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,445.44 / $3,311.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $891.25 / $1,258.93