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Florida 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
$102.85 / $1,623.00 / $8,471.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.50 / $104.36 / $168.53
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.11 / $121.00 / $227.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.00 / $323.00 / $323.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.86 / $119.94 / $196.75
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.91 / $54.30 / $58.72
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.07 / $95.28 / $145.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.80 / $102.93 / $147.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$366.00 / $1,925.00 / $4,970.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.91 / $120.22 / $210.18
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.55 / $96.26 / $96.26