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Oregon 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
$363.08 / $776.25 / $9,549.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $389.05 / $1,230.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $616.60 / $1,122.02
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $537.03 / $1,000.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $537.03 / $1,047.13
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $660.69 / $954.99
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $794.33 / $851.14
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $512.86 / $912.01
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $616.60 / $1,071.52
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $1,995.26 / $2,398.83
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $758.58 / $1,071.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $1,995.26 / $6,165.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $616.60 / $1,071.52