go back

Nebraska 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
$428.13 / $6,048.00 / $16,762.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.95 / $397.59 / $944.90
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.72 / $389.72 / $389.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,442.56 / $3,212.63 / $6,214.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.18 / $476.50 / $794.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.70 / $789.79 / $1,234.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.34 / $650.50 / $1,775.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.04 / $859.81 / $1,914.08
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.54 / $720.76 / $1,148.14
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.36 / $782.13 / $1,148.14
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.14 / $453.60 / $847.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,031.00 / $1,775.00 / $4,406.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$510.14 / $910.96 / $1,005.90