go back

California rates for HCPCS 13121

Repair, complex, scalp, arms, and/or legs; 2.6 cm to 7.5 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.25 / $5,741.58 / $16,713.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.10 / $383.70 / $1,304.58
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.08 / $415.17 / $726.34
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,675.00 / $6,797.00 / $13,707.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.52 / $398.25 / $859.30
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $7,826.58
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.02 / $354.32 / $762.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.05 / $442.72 / $865.52
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.65 / $342.08 / $627.40
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.58 / $448.16 / $797.48
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,766.64 / $3,555.55 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,874.40 / $3,045.84 / $3,541.35
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.20 / $394.49 / $627.40
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.62 / $462.22 / $872.65
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$857.66 / $857.66 / $1,427.48
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.89 / $276.49 / $475.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$570.00 / $1,533.00 / $5,830.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.18 / $437.07 / $966.65