go back

Pennsylvania 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
$685.81 / $2,435.00 / $7,884.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$534.49 / $696.51 / $1,346.85
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,824.00 / $4,354.00 / $8,459.92
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.70 / $738.91 / $1,365.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$568.85 / $759.72 / $1,341.07
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$900.61 / $1,157.92 / $1,193.56
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,100.23 / $4,398.07 / $6,647.50
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.54 / $697.33 / $897.38
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$685.81 / $2,543.00 / $7,603.76
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$560.98 / $749.43 / $1,544.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$586.96 / $766.10 / $1,077.81
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,051.84 / $1,051.84 / $1,051.84
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$583.50 / $779.52 / $1,437.08
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$596.52 / $604.69 / $736.85
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.52 / $692.50 / $785.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$637.00 / $2,391.00 / $6,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$657.38 / $824.41 / $1,403.51