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Virginia 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
$131.62 / $1,719.00 / $6,827.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.73 / $119.18 / $226.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.75 / $120.30 / $177.33
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.33 / $73.33 / $916.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.88 / $138.88 / $138.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.53 / $130.69 / $231.41
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.21 / $145.86 / $173.64
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.56 / $119.28 / $181.40
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.00 / $175.00 / $264.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.56 / $112.48 / $1,098.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.91 / $159.01 / $1,098.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.00 / $1,045.00 / $2,364.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.52 / $133.62 / $233.64