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West Virginia 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
$634.67 / $4,516.80 / $6,873.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557.08 / $655.07 / $1,115.46
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$593.92 / $721.50 / $873.42
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$698.74 / $1,373.94 / $1,616.40
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
$587.30 / $819.91 / $1,940.80
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.44 / $3,070.35 / $7,353.00
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$950.31 / $978.54 / $1,022.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$580.34 / $857.43 / $1,205.22