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Connecticut 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
$168.53 / $4,228.00 / $8,031.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.78 / $119.60 / $477.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,315.00 / $5,646.00 / $7,714.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $166.85 / $301.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.37 / $176.34 / $321.54
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.92 / $146.96 / $153.52
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.88 / $146.88 / $149.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,347.00 / $3,983.00 / $6,832.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.30 / $153.02 / $266.01