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Arizona rates for HCPCS 13133

Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; 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
$1,162.00 / $2,640.00 / $5,506.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.84 / $153.31 / $269.41
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.34 / $151.34 / $151.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$336.60 / $1,308.38 / $2,072.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.63 / $118.48 / $160.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.44 / $160.22 / $276.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.31 / $161.29 / $1,424.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.68 / $172.55 / $1,249.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$704.00 / $1,488.00 / $2,175.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.80 / $169.32 / $219.39