go back

Vermont rates for HCPCS 13122

Repair Complex Scalp/Arm/Leg Ea Addl 5 Cm/<

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.70 / $119.60 / $225.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.57 / $188.89 / $578.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.76 / $182.08 / $452.50
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.57 / $183.70 / $452.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.53 / $185.81 / $540.16