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Indiana 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
$213.80 / $831.76 / $6,918.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $389.05 / $851.14
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $331.13 / $380.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $4,466.84 / $8,709.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $371.54 / $562.34
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $295.12 / $331.13
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $426.58 / $524.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $436.52 / $436.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $416.87 / $660.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $2,137.96 / $5,754.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $371.54 / $575.44