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Oregon 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
$367.05 / $777.67 / $13,320.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.14 / $399.93 / $1,081.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.65 / $668.56 / $1,195.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.46 / $616.11 / $989.66
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$344.70 / $591.77 / $954.11
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$413.64 / $675.69 / $885.78
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$456.60 / $714.10 / $854.92
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$356.40 / $625.62 / $1,470.16
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.25 / $725.25 / $1,068.65
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,400.90 / $1,985.16 / $2,351.11
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.32 / $786.01 / $1,210.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$376.00 / $3,290.00 / $6,216.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.28 / $795.60 / $1,265.13