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North Dakota 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 / $131.83 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $114.82 / $407.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $208.93 / $295.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $213.80 / $338.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $131.83 / $251.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $239.88 / $933.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $2,041.74 / $2,041.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $154.88 / $251.19