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Nationwide rates for HCPCS 12001

Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.5 cm or less

Facilitymedian $537 · 10th–90th $95$4,6770%10%10th90th$537Professionalmedian $110 · 10th–90th $44$3240%10%20%10th90th$110$0.5$5.0$50.0$500.0$5.0K$50.0K$500.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$93.33 / $489.78 / $3,548.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $109.65 / $338.84
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,548.82 / $4,570.88 / $10,471.29
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $112.20 / $208.93
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $281.84 / $831.76
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $107.15 / $218.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$181.97 / $1,000.00 / $3,311.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $89.13 / $181.97