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West 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
$447.44 / $776.44 / $2,065.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.81 / $108.73 / $176.33
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.48 / $96.58 / $105.22
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.53 / $93.53 / $93.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.88 / $138.88 / $138.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.19 / $130.69 / $346.41
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$808.14 / $808.14 / $808.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.52 / $133.99 / $194.51