go back

Oklahoma 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
$426.68 / $2,652.00 / $12,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.88 / $397.85 / $443.79
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.97 / $264.42 / $385.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$570.86 / $890.36 / $1,396.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.54 / $408.80 / $561.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.29 / $443.39 / $618.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$255.88 / $443.79 / $1,802.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.77 / $457.66 / $3,161.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.00 / $607.08 / $1,883.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.39 / $428.49 / $635.36