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Arizona rates for HCPCS 14041

Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10.1 sq cm to 30.0 sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,521.50 / $3,370.00 / $7,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$670.25 / $879.78 / $1,504.38
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$841.61 / $841.61 / $841.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$637.36 / $2,531.19 / $4,140.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$552.07 / $733.46 / $890.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.86 / $903.51 / $1,585.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$718.92 / $950.91 / $3,093.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$811.13 / $950.98 / $6,899.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,578.00 / $2,522.00 / $5,029.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$767.36 / $904.10 / $1,403.67