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Rhode Island 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
$1,518.41 / $1,543.03 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.09 / $99.37 / $119.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.42 / $120.21 / $186.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.35 / $155.44 / $267.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.00 / $1,401.00 / $4,915.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.04 / $167.87 / $250.41