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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
$147.91 / $275.42 / $5,248.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $162.18 / $363.08
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $147.91 / $288.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $194.98 / $363.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $186.21 / $363.08
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $234.42 / $251.19
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $165.96 / $239.88
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $194.98 / $263.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $812.83 / $1,949.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $154.88 / $316.23
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $1,288.25 / $19,498.45
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,202.26 / $1,412.54