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Vermont 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
Professional
Modifier
Low / Median / High Price
$67.61 / $128.82 / $416.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $181.97 / $190.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $181.97 / $457.09
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $208.93 / $208.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $151.36 / $309.03