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Rhode Island 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
$2,090.73 / $3,706.14 / $6,839.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.76 / $647.95 / $781.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$560.76 / $801.09 / $1,098.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$653.75 / $866.61 / $1,551.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,812.00 / $4,049.00 / $5,510.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$583.57 / $851.30 / $1,432.73