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Rhode Island 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
$887.63 / $3,243.94 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.52 / $330.03 / $453.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.42 / $377.02 / $604.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.12 / $522.10 / $882.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.00 / $1,401.00 / $4,915.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.31 / $550.63 / $805.33