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Pennsylvania rates for HCPCS 14021

Adjacent tissue transfer or rearrangement, scalp, arms and/or legs; defect 10.1 sq cm to 30.0 sq cm

Facilitymedian $4,074 · 10th–90th $794$8,3180%5%10th90th$4,074Professionalmedian $851 · 10th–90th $617$1,7780%10%10th90th$851$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$794.33 / $4,073.80 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $870.96 / $1,995.26
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $794.33 / $1,288.25
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $398.11 / $426.58
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,801.89 / $4,466.84 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,412.54 / $1,412.54 / $1,584.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $891.25 / $1,412.54
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$912.01 / $1,380.38 / $1,513.56
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $1,047.13 / $1,479.11
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,202.26 / $4,265.80 / $8,128.31
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $831.76 / $1,479.11
Independence Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $398.11 / $398.11
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$724.44 / $3,235.94 / $7,244.36
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $831.76 / $1,621.81
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$912.01 / $1,479.11 / $3,467.37
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$363.08 / $691.83 / $831.76
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $691.83 / $851.14
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$912.01 / $2,951.21 / $6,606.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $851.14 / $1,513.56