go back

Maryland rates for HCPCS 13102

Repair, complex, trunk; each additional 5 cm or less (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.98 / $110.40 / $1,731.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.67 / $103.87 / $223.25
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.92 / $63.92 / $81.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.76 / $110.19 / $201.75
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.69 / $136.32 / $250.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.00 / $150.00 / $150.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.19 / $118.61 / $226.58
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.94 / $96.75 / $138.19