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Oklahoma 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
$123.03 / $1,445.44 / $6,456.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $114.82 / $281.84
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $93.33 / $151.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $831.76 / $1,318.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $125.89 / $169.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $123.03 / $190.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $138.04 / $1,862.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $138.04 / $933.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $630.96 / $1,659.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $107.15 / $151.36