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Nationwide rates for HCPCS 12004

Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 7.6 cm to 12.5 cm

Facilitymedian $1,096 · 10th–90th $123$6,9180%5%10%10th90th$1,096Professionalmedian $132 · 10th–90th $66$3310%20%10th90th$132$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
$123.03 / $831.76 / $6,025.60
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $128.82 / $331.13
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,621.81 / $4,570.88 / $10,471.29
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $151.36 / $288.40
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$125.89 / $426.58 / $1,174.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $151.36 / $302.00
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
$69.18 / $131.83 / $251.19