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New Jersey 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
$1,318.26 / $5,248.07 / $9,332.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $831.76 / $3,090.30
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $467.74 / $575.44
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $3,090.30 / $3,981.07
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $812.83 / $831.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $812.83 / $1,737.80
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,096.48 / $1,258.93
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,168.69 / $5,128.61 / $9,120.11
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $870.96 / $1,412.54
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
$354.81 / $588.84 / $1,288.25