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California rates for HCPCS 14040

Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10 sq cm or less

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$927.00 / $4,696.24 / $16,125.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$543.98 / $710.29 / $2,227.54
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$621.96 / $745.44 / $778.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,143.00 / $5,931.00 / $11,456.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$560.62 / $742.47 / $1,620.25
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.09 / $100.00 / $6,814.63
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$459.87 / $656.95 / $1,566.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$608.01 / $835.30 / $1,729.91
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.30 / $851.53 / $1,254.91
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$627.09 / $870.44 / $1,498.17
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,308.12 / $5,564.75 / $16,394.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,557.35 / $5,540.32 / $6,432.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.09 / $836.21 / $1,186.16
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$631.70 / $866.50 / $1,746.05
Sutter Health Plus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,127.00 / $3,127.00 / $3,127.00
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,044.18 / $2,044.18 / $2,492.59
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.78 / $598.12 / $845.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,348.00 / $4,218.00 / $9,131.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$582.12 / $776.16 / $1,705.79