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New Mexico 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)

Facilitymedian $209 · 10th–90th $107–$2,1380%5%10th90th$209Professionalmedian $126 · 10th–90th $76–$2290%10%10th90th$126$20.0$100.0$500.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$107.15 / $204.17 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $125.89 / $251.19
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$138.04 / $489.78 / $794.33
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $112.20 / $151.36
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $134.90 / $199.53
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $177.83
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$74.13 / $123.03 / $204.17
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $141.25 / $208.93
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$229.09 / $1,148.15 / $1,412.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $144.54 / $218.78