go back

Washington, DC 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
$171.92 / $1,793.00 / $4,100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.59 / $157.80 / $207.52
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.75 / $112.75 / $1,021.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.27 / $155.09 / $362.04
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.38 / $386.03 / $386.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.00 / $442.00 / $5,940.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.97 / $174.04 / $446.09