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West Virginia 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
$263.85 / $1,400.60 / $9,296.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.87 / $389.93 / $557.02
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$246.24 / $299.12 / $362.12
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.69 / $745.57 / $877.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$434.87 / $434.87 / $434.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.14 / $440.59 / $1,092.01
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,749.22 / $2,204.46 / $2,242.48
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.58 / $574.99 / $581.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.20 / $466.05 / $673.41