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Oklahoma 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
$835.61 / $2,731.00 / $8,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$592.63 / $710.29 / $889.82
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$656.43 / $656.43 / $932.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,474.12 / $8,537.98 / $13,391.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$601.48 / $808.37 / $981.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.59 / $846.79 / $1,076.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$615.67 / $860.81 / $4,012.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$655.00 / $796.53 / $5,675.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.00 / $1,928.00 / $3,790.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$622.47 / $778.09 / $1,127.76