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Texas 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
$501.19 / $2,884.03 / $10,471.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $380.19 / $912.01
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $398.11 / $512.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $812.83 / $1,737.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $346.74 / $524.81
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $549.54 / $912.01
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $316.23 / $616.60
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $257.04 / $398.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $446.68 / $691.83
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,548.13 / $45,708.82 / $45,708.82
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,019.95 / $3,548.13 / $3,548.13
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $478.63 / $3,890.45
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $389.05 / $776.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $338.84
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $389.05 / $616.60
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $457.09 / $707.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $1,047.13 / $2,691.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $371.54 / $549.54
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $398.11 / $398.11