go back

Idaho 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
$306.24 / $467.20 / $4,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.99 / $392.61 / $655.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.08 / $468.18 / $701.80
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.25 / $447.58 / $718.15
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$413.64 / $592.10 / $819.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $659.14
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,016.89 / $1,451.69 / $1,937.47
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.83 / $519.99 / $799.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,800.00 / $8,244.00 / $9,193.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.36 / $538.55 / $747.78