go back

New York 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
$847.22 / $3,990.61 / $10,081.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.09 / $879.78 / $1,907.51
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,393.00 / $4,142.00 / $9,074.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$710.79 / $856.21 / $2,033.34
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,064.93 / $1,990.00 / $8,917.50
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,064.93 / $1,064.93 / $1,296.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,285.83 / $1,285.83 / $1,285.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$561.88 / $1,108.96 / $2,559.75
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $811.08 / $1,977.41
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,085.80 / $1,258.54 / $2,642.46
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$767.77 / $995.21 / $1,712.94
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,002.54 / $6,002.54 / $6,975.78
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$867.29 / $1,097.44 / $1,238.90
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $1,285.83 / $74,999.25
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$678.95 / $1,179.68 / $3,007.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,764.00 / $3,961.00 / $8,312.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$619.91 / $1,040.75 / $2,294.75
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$818.81 / $818.81 / $2,870.90
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$813.04 / $995.21 / $2,411.89