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North Carolina 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
$121.73 / $267.89 / $4,311.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.37 / $153.74 / $267.82
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.38 / $147.38 / $147.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.94 / $193.23 / $376.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.24 / $185.99 / $376.42
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.73 / $173.48 / $256.33
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.21 / $206.21 / $400.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.50 / $163.58 / $262.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$361.00 / $896.00 / $2,229.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.46 / $172.33 / $420.86
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$611.47 / $611.47 / $12,000.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$902.48 / $1,212.64 / $1,402.43