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Washington, DC 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
$599.36 / $1,614.00 / $6,268.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.24 / $403.79 / $566.52
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.63 / $283.63 / $2,298.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.63 / $404.44 / $888.67
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$437.61 / $991.86 / $991.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.00 / $442.00 / $5,940.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.55 / $457.81 / $1,146.17