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New York 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
$664.70 / $3,434.16 / $8,907.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.16 / $710.28 / $1,695.91
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$704.39 / $704.39 / $704.39
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,393.00 / $4,142.00 / $9,074.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.32 / $659.16 / $1,698.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.69 / $1,716.00 / $6,213.00
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.69 / $870.69 / $1,065.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,051.84 / $1,051.84 / $1,051.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$460.84 / $908.03 / $2,106.79
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $665.31 / $1,623.58
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$893.98 / $1,036.21 / $2,450.60
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.27 / $713.04 / $1,409.96
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,928.79 / $2,951.49 / $5,114.96
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$753.32 / $836.95 / $899.71
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $1,051.84 / $74,999.25
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$559.90 / $954.11 / $2,470.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,764.00 / $3,961.00 / $8,312.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$505.28 / $894.56 / $1,922.25
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$670.76 / $670.76 / $2,145.08
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.27 / $753.98 / $1,870.41