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Delaware 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
$1,300.00 / $2,992.50 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.17 / $101.76 / $112.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.48 / $111.57 / $159.50
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.06 / $74.06 / $74.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.75 / $125.00 / $370.56