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Oklahoma 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
$870.96 / $2,630.27 / $6,760.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $758.58 / $1,380.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,128.61 / $7,943.28 / $12,882.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $912.01 / $1,122.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $977.24 / $1,230.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $977.24 / $4,168.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $954.99 / $6,456.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $1,995.26 / $3,981.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $794.33 / $1,096.48