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Vermont 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 $263 · 10th–90th $151$6030%20%10th90th$263Professionalmedian $110 · 10th–90th $55$2400%10%10th90th$110$50.0$100.0$200.0$500.0

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
$151.36 / $288.40 / $602.56
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $109.65 / $239.88
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$63.10 / $263.03 / $562.34
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $223.87 / $229.09
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $100.00 / $213.80
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $154.88 / $154.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $128.82 / $223.87