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Alaska rates for HCPCS 13122

Repair, complex, scalp, arms, and/or legs; each additional 5 cm or less (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$359.14 / $6,320.89 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.81 / $119.60 / $605.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.91 / $228.54 / $419.05
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$410.35 / $586.79 / $848.32
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.13 / $237.75 / $365.85
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.40 / $355.25 / $546.65
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$410.35 / $586.79 / $848.32
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.80 / $340.20 / $590.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.12 / $335.24 / $505.74