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Texas 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
$652.00 / $2,396.00 / $6,337.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.51 / $674.40 / $1,077.84
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$718.57 / $718.57 / $745.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,444.24 / $2,509.48 / $4,939.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.09 / $705.23 / $1,008.54
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$601.65 / $1,852.45 / $4,500.00
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.64 / $718.57 / $1,185.64
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$533.54 / $1,108.86 / $1,108.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$631.70 / $834.64 / $1,259.76
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,308.12 / $16,394.00 / $16,394.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,557.35 / $5,540.32 / $6,432.90
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$585.77 / $756.98 / $1,096.16
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$611.35 / $1,013.18 / $1,384.99
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$604.08 / $1,453.03 / $3,419.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$583.99 / $762.86 / $1,044.78
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$582.91 / $756.98 / $1,114.95
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.36 / $869.27 / $1,393.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.00 / $2,064.00 / $4,554.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$586.54 / $781.19 / $1,162.74
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.51 / $718.57 / $1,006.00