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Wyoming 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
$1,785.25 / $1,785.25 / $1,785.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.20 / $434.46 / $868.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.00 / $648.00 / $898.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.09 / $486.07 / $760.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.00 / $293.00 / $3,239.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.89 / $734.41 / $1,325.22