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New Jersey 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
$340.14 / $2,069.01 / $9,125.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.44 / $360.63 / $718.53
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.08 / $415.17 / $415.17
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.25 / $422.63 / $1,500.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.60 / $386.84 / $839.64
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.69 / $591.96 / $672.44
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,363.91 / $1,692.05 / $3,022.45
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.51 / $438.41 / $652.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,529.00 / $3,352.00 / $10,536.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.83 / $388.62 / $817.45