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Pennsylvania rates for HCPCS 13120

Repair Complex Scalp/Arm/Leg 1.1-2.5 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.64 / $1,668.23 / $7,197.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.42 / $301.75 / $601.46
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.16 / $324.16 / $324.16
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,299.82 / $2,746.00 / $13,822.74
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.01 / $356.99 / $565.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.05 / $337.84 / $555.39
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$414.17 / $532.51 / $548.88
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$301.58 / $825.76 / $1,766.93
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.95 / $339.52 / $349.33
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.56 / $2,450.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.12 / $320.64 / $981.76
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.40 / $304.95 / $492.68
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$386.23 / $386.23 / $386.23
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.17 / $347.19 / $625.09
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$224.81 / $227.45 / $345.27
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.62 / $294.70 / $370.56
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
$293.27 / $377.00 / $619.60