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Delaware rates for HCPCS 14301

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,637.68 / $2,449.87 / $9,815.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$753.94 / $948.80 / $1,143.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$866.01 / $1,117.90 / $1,547.53
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,104.64 / $6,772.50 / $14,282.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$865.77 / $1,141.49 / $2,486.88