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Virginia 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
$372.35 / $3,633.00 / $8,294.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.09 / $301.75 / $584.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,735.00 / $2,390.00 / $2,954.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.28 / $338.29 / $497.45
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.09 / $212.09 / $1,013.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$386.23 / $386.23 / $386.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.67 / $356.24 / $631.45
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.89 / $412.79 / $491.41
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.49 / $330.56 / $485.55
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.00 / $470.00 / $661.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.02 / $311.39 / $1,169.82
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.18 / $435.40 / $1,380.00
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
$266.89 / $370.46 / $630.75