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Idaho 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
$149.38 / $231.02 / $4,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.73 / $119.60 / $194.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.07 / $141.44 / $209.75
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.39 / $133.06 / $205.79
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.76 / $172.36 / $243.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $195.97
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.32 / $165.21 / $238.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,800.00 / $8,244.00 / $9,193.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.85 / $164.57 / $224.41