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North Carolina rates for HCPCS 13122

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.18 / $243.21 / $4,311.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.73 / $118.45 / $349.28
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.28 / $110.11 / $110.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.80 / $143.25 / $252.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.58 / $134.40 / $267.08
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.23 / $125.00 / $188.21
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.69 / $144.69 / $400.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.33 / $116.13 / $197.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$361.00 / $896.00 / $2,229.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.44 / $127.98 / $288.91
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$399.57 / $399.57 / $12,000.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$589.84 / $904.80 / $1,056.08