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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
$127.72 / $2,438.00 / $7,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.73 / $108.73 / $127.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$569.26 / $884.12 / $1,389.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.29 / $123.62 / $169.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.77 / $123.98 / $180.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.44 / $134.11 / $1,582.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.98 / $134.97 / $937.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.00 / $607.00 / $1,883.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.98 / $130.93 / $191.00