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Pennsylvania 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
$342.61 / $2,371.00 / $8,017.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.22 / $276.50 / $4,212.12
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,431.95 / $7,827.00 / $19,139.18
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.66 / $357.46 / $478.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.18 / $245.22 / $428.92
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.83 / $325.07 / $336.44
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$590.11 / $837.16 / $4,658.22
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.84 / $212.50 / $216.32
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$594.00 / $2,343.16 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.78 / $342.61 / $4,380.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.57 / $255.00 / $317.42
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.50 / $243.50 / $243.50
Priority Health
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$190.88 / $190.88 / $190.88
Priority Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$23.86 / $23.86 / $23.86
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.34 / $245.89 / $462.47
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.21 / $210.21 / $230.37
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.21 / $212.29 / $230.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.00 / $674.00 / $4,300.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.97 / $242.74 / $421.59