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Colorado 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
$125.89 / $1,949.84 / $6,456.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $123.03 / $346.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $151.36 / $239.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $131.83 / $199.53
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $186.21 / $338.84
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $125.89 / $138.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $1,479.11 / $2,691.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $141.25 / $245.47