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Kentucky 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
$645.65 / $1,778.28 / $8,128.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $794.33 / $1,513.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $3,801.89 / $8,511.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $707.95 / $977.24
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $794.33 / $933.25
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $912.01 / $1,071.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $1,202.26 / $1,862.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $954.99 / $4,570.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $1,445.44 / $5,248.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $831.76 / $1,348.96