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Massachusetts 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
$116.11 / $1,418.00 / $3,363.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.20 / $108.73 / $257.33
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$198.39 / $941.10 / $4,142.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.97 / $184.20 / $589.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.87 / $122.03 / $215.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.62 / $204.23 / $299.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.57 / $192.76 / $406.31
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $171.16 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.72 / $174.28 / $240.57
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.35 / $208.99 / $340.80
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.87 / $543.03 / $849.47
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.12 / $199.12 / $204.17
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$399.57 / $1,818.00 / $12,000.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.62 / $250.41 / $904.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.00 / $1,818.00 / $2,733.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.46 / $184.20 / $340.22