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Washington, DC 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
$131.62 / $1,556.00 / $4,100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.89 / $108.73 / $148.00
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.33 / $73.33 / $1,021.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.30 / $115.58 / $275.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.33 / $292.97 / $292.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.00 / $442.00 / $5,940.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.21 / $131.08 / $338.55