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Massachusetts 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
$331.13 / $2,691.53 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $426.58 / $1,348.96
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $1,659.59 / $45,708.82
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $489.78 / $1,230.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $302.00 / $691.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $660.69 / $1,148.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $575.44 / $1,071.52
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $575.44 / $7,079.46
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $575.44 / $831.76
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $2,041.74 / $3,467.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $501.19 / $1,071.52
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $691.83 / $1,949.84
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $616.60 / $691.83
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $1,659.59 / $45,708.82
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $501.19 / $1,288.25
Tufts
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $331.13 / $426.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $1,819.70 / $2,818.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $501.19 / $977.24