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Connecticut 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
$540.84 / $5,305.50 / $9,583.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.77 / $540.84 / $1,572.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,788.00 / $6,273.00 / $10,432.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.11 / $448.59 / $625.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.95 / $551.54 / $1,081.67
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.85 / $550.41 / $574.99
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.91 / $247.91 / $504.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,347.00 / $3,983.00 / $6,832.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.46 / $513.72 / $856.61