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Virginia 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
$247.88 / $1,938.00 / $7,144.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.46 / $247.87 / $685.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.41 / $250.71 / $344.95
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.25 / $238.25 / $916.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.50 / $243.50 / $243.50
Cigna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$190.88 / $190.88 / $190.88
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$23.86 / $23.86 / $23.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.08 / $267.44 / $424.61
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.56 / $242.68 / $288.89
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.29 / $249.17 / $350.06
Medcost
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$40.40 / $58.95 / $58.95
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$28.28 / $34.34 / $41.27
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.00 / $309.00 / $496.03
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.24 / $298.95 / $1,169.82
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.24 / $298.95 / $1,169.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.00 / $1,045.00 / $2,364.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.94 / $247.41 / $403.27