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Missouri 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
$98.05 / $2,414.00 / $7,365.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.73 / $109.18 / $302.26
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.97 / $102.26 / $147.77
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $1,963.00 / $4,958.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.00 / $113.94 / $184.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.07 / $138.60 / $241.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.42 / $154.38 / $2,019.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.98 / $165.70 / $937.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.00 / $760.00 / $1,300.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.91 / $137.00 / $242.71