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Massachusetts 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
$367.05 / $2,185.00 / $4,553.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.11 / $412.18 / $1,025.60
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$605.28 / $1,052.09 / $3,445.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.63 / $618.48 / $1,874.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$301.87 / $392.43 / $692.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$434.39 / $665.04 / $1,059.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.83 / $652.13 / $1,329.32
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$261.20 / $550.41 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.17 / $593.28 / $818.96
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.44 / $666.08 / $1,148.58
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$259.95 / $698.56 / $1,928.58
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.80 / $668.62 / $798.23
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.00 / $1,818.00 / $26,542.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$414.66 / $805.33 / $3,045.84
Tufts
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.12 / $456.74 / $903.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.00 / $1,818.00 / $2,733.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.81 / $600.90 / $1,159.32