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Virginia 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 / $2,226.69 / $8,294.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.14 / $158.19 / $298.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.05 / $163.75 / $241.71
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.75 / $112.75 / $916.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.32 / $211.32 / $211.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.68 / $180.96 / $323.87
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.95 / $193.37 / $230.20
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.76 / $174.92 / $249.36
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.00 / $246.00 / $322.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.22 / $172.03 / $1,098.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.57 / $212.36 / $1,098.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.00 / $1,148.00 / $2,364.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.47 / $179.73 / $311.08