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New York rates for HCPCS 13120

Repair, complex, scalp, arms, and/or legs; 1.1 cm to 2.5 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $3,162.28 / $8,128.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $309.03 / $831.76
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $346.74 / $346.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $3,630.78 / $5,011.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $316.23 / $776.25
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $1,698.24 / $6,165.95
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $331.13 / $512.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $1,659.59 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $416.87 / $891.25
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $245.47 / $724.44
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $489.78 / $794.33
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $380.19 / $660.69
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $426.58 / $2,089.30
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $416.87 / $426.58
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $416.87 / $524.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $2,754.23 / $4,897.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $295.12 / $645.65
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $245.47 / $812.83
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $407.38 / $741.31