go back

Maine 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
$0.83 / $2,238.72 / $13,182.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $389.05 / $851.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $416.87 / $691.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $575.44 / $954.99
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $478.63 / $812.83
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.83 / $2,238.72 / $13,182.57
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $407.38 / $977.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $478.63 / $812.83