go back

Tennessee 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
$147.91 / $1,380.38 / $3,981.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $117.49 / $346.74
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $123.03 / $141.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $147.91 / $602.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $138.04 / $234.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $144.54 / $257.04
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $2,570.40 / $19,498.45
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,047.13 / $1,047.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $812.83 / $2,511.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $123.03 / $218.78