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Maryland 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
$1.00 / $428.31 / $3,784.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.31 / $383.70 / $828.08
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.12 / $283.63 / $354.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.23 / $408.82 / $708.51
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.60 / $497.83 / $891.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.00 / $150.00 / $150.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.71 / $433.08 / $763.17
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.97 / $340.34 / $503.25