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Connecticut rates for HCPCS 14301

Adjacent tissue transfer or rearrangement, any area; defect 30.1 sq cm to 60.0 sq cm

Facilitymedian $6,026 · 10th–90th $2,089–$9,5500%10%10th90th$6,026Professionalmedian $1,202 · 10th–90th $562–$3,3880%5%10%10th90th$1,202$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,089.30 / $5,754.40 / $9,549.93
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$741.31 / $1,258.93 / $3,801.89
Aetna
Facility/Professional
Professional
Modifier
AS
Typical Low / Median / Typical High
$69.18 / $630.96 / $977.24
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,760.83 / $12,302.69 / $13,803.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$954.99 / $1,621.81 / $2,454.71
Anthem BCBS
Facility/Professional
Professional
Modifier
AS
Typical Low / Median / Typical High
$134.90 / $229.09 / $338.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,479.11 / $2,691.53
ConnectiCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,380.38 / $1,412.54 / $1,412.54
Health New England
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,248.07 / $5,248.07 / $5,495.41
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $208.93 / $3,467.37
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,025.60 / $8,709.64 / $12,022.64
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $1,202.26 / $2,089.30