go back

Washington 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
$1,210.58 / $2,684.02 / $14,464.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$686.39 / $975.71 / $2,059.66
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$805.33 / $1,539.16 / $1,539.16
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,271.36 / $5,359.68 / $11,429.12
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,063.44 / $1,953.63 / $6,899.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$644.92 / $1,110.00 / $2,323.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$935.25 / $1,440.58 / $2,575.80
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,034.34 / $1,560.73 / $2,350.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,083.00 / $1,578.64 / $2,376.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.23 / $473.95 / $1,865.53
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,172.35 / $1,689.26 / $1,863.94
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$759.83 / $1,226.72 / $1,271.36
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,073.48 / $1,774.92 / $2,330.48
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,351.17 / $5,167.93 / $9,885.68
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,026.09 / $1,485.70 / $2,225.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$629.00 / $1,120.00 / $6,857.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,133.91 / $1,371.24 / $2,619.15
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.98 / $831.98 / $1,026.14