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California rates for HCPCS 14302

Adjacent tissue transfer or rearrangement, any area; each additional 30.0 sq cm, or part thereof (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,038.00 / $5,422.00 / $16,109.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.02 / $501.02 / $4,895.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.17 / $174.17 / $174.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,143.00 / $5,931.00 / $11,456.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.16 / $260.07 / $538.12
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.80 / $100.00 / $5,485.17
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.00 / $250.00 / $572.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.11 / $268.23 / $596.35
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.50 / $234.41 / $284.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.00 / $266.89 / $489.88
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $538.25 / $1,041.39
Lucent Health
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$383.65 / $778.71 / $833.11
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$47.96 / $97.34 / $104.14
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,534.80 / $1,569.76 / $1,805.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.95 / $255.59 / $339.89
Providence
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$81.45 / $81.45 / $81.45
Providence
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$69.23 / $69.23 / $69.23
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.51 / $277.49 / $569.65
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$705.40 / $705.40 / $705.40
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.10 / $260.02 / $322.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$587.00 / $1,572.00 / $5,830.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.80 / $229.24 / $477.53