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Maryland 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
$910.65 / $2,238.27 / $7,387.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$728.23 / $922.18 / $2,211.21
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$801.09 / $850.35 / $977.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$722.81 / $962.69 / $1,600.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$962.07 / $1,190.79 / $1,925.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.00 / $450.00 / $701.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$743.63 / $936.67 / $1,641.62
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$751.90 / $840.78 / $1,110.23