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New Jersey 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
$2,089.30 / $6,309.57 / $10,715.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $912.01 / $3,090.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $933.25 / $1,862.09
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,258.93 / $1,445.44
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $5,888.44 / $9,549.93
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $1,000.00 / $1,621.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $5,128.61 / $8,709.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $676.08 / $1,479.11