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Wyoming 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
Professional
Modifier
Low / Median / High Price
$676.08 / $851.14 / $1,949.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,659.59 / $2,041.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,071.52 / $1,548.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $1,584.89 / $5,370.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,258.93 / $2,511.89