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Hawaii 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
$1,324.03 / $2,747.00 / $4,456.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.22 / $412.18 / $1,473.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.76 / $552.40 / $662.88
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$434.30 / $537.76 / $720.69
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.38 / $441.92 / $552.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,078.00 / $1,078.00 / $1,078.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.76 / $552.40 / $1,083.82
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.40 / $405.90 / $5,885.00