go back

Minnesota 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
$676.08 / $851.14 / $3,715.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $851.14 / $3,090.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $4,570.88 / $10,232.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,737.80 / $2,951.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $3,235.94 / $7,762.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $2,454.71 / $3,801.89
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $3,090.30 / $6,025.60
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $2,187.76 / $3,467.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $1,288.25 / $2,570.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,621.81 / $5,248.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $3,548.13 / $6,760.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,445.44 / $2,754.23