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Iowa 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
$365.33 / $2,352.00 / $6,066.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.40 / $146.91 / $584.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.26 / $225.94 / $357.41
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.64 / $157.21 / $234.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.84 / $202.92 / $1,607.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.49 / $220.39 / $605.84
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.31 / $250.42 / $394.19
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.00 / $220.39 / $347.89
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.92 / $137.16 / $233.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,204.00 / $1,623.00 / $2,126.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.81 / $198.23 / $403.46
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.30 / $170.90 / $263.00