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Minnesota rates for HCPCS 13122

Repair Complex Scalp/Arm/Leg Ea Addl 5 Cm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.72 / $124.56 / $2,168.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.72 / $119.60 / $207.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.98 / $146.44 / $427.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.04 / $232.17 / $416.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$311.64 / $441.94 / $1,063.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.29 / $288.79 / $528.02
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$253.34 / $404.04 / $837.13
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.78 / $266.99 / $498.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.16 / $162.30 / $440.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.47 / $256.45 / $605.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$563.00 / $1,749.00 / $2,883.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.47 / $228.96 / $454.08