go back

Kansas 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
$141.93 / $3,131.00 / $10,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.73 / $109.18 / $172.41
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.26 / $102.26 / $102.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.82 / $116.26 / $175.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.00 / $624.00 / $624.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.91 / $140.76 / $199.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.75 / $140.47 / $2,819.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.50 / $155.09 / $937.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.00 / $526.00 / $1,769.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.14 / $137.69 / $200.80