go back

New Jersey rates for HCPCS 13122

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.30 / $3,110.00 / $9,784.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.51 / $101.76 / $207.61
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.35 / $106.35 / $144.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.06 / $117.77 / $261.37
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.38 / $176.75 / $198.56
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.45 / $133.99 / $192.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,529.00 / $3,352.00 / $10,536.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.23 / $127.98 / $250.14