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North Carolina 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
$294.14 / $579.29 / $6,657.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.52 / $407.49 / $718.53
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.81 / $321.22 / $357.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.29 / $398.21 / $856.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.49 / $431.69 / $891.12
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$249.24 / $416.56 / $610.54
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533.50 / $533.50 / $606.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.41 / $384.64 / $661.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$361.00 / $896.00 / $2,229.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.42 / $419.65 / $1,066.66
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,766.64 / $1,766.64 / $26,542.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,874.40 / $3,045.84 / $3,541.35