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Minnesota 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
$77.62 / $123.03 / $851.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $120.23 / $436.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $302.00 / $467.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $229.09 / $407.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $467.74 / $1,122.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $295.12 / $537.03
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $446.68 / $870.96
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $275.42 / $501.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $165.96 / $602.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $245.47 / $602.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,862.09 / $3,715.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $199.53 / $389.05