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Tennessee 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
$231.37 / $2,089.00 / $6,446.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.03 / $374.81 / $703.94
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.40 / $412.28 / $505.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$756.00 / $1,487.00 / $2,430.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.02 / $404.54 / $639.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.57 / $453.09 / $826.28
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,766.64 / $1,802.64 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,874.40 / $3,045.84 / $3,541.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.00 / $794.00 / $2,577.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.48 / $456.99 / $830.43