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Arizona rates for HCPCS 13121

Repair Complex Scalp/Arm/Leg 2.6-7.5 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$813.19 / $3,393.63 / $7,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.62 / $383.71 / $758.25
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.27 / $224.33 / $500.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$632.79 / $2,515.38 / $4,140.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.98 / $264.98 / $433.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.00 / $406.37 / $582.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.74 / $399.40 / $1,689.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.85 / $424.55 / $3,161.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$716.00 / $1,535.00 / $2,175.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.45 / $416.16 / $579.20