go back

South Carolina 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
$1,174.90 / $6,606.93 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,023.29 / $2,290.87
Aetna
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$95.50 / $154.88 / $457.09
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $812.83 / $1,096.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $4,897.79 / $9,772.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,122.02 / $1,548.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,148.15 / $1,479.11
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $1,698.24 / $1,698.24
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $1,122.02 / $1,479.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,128.61 / $13,182.57 / $23,442.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $954.99 / $1,778.28