go back

Alabama rates for HCPCS 12004

Simple Rpr Scalp/Neck/Ax/Genit/Trunk 7.6-12.5cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.51 / $432.60 / $1,728.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.52 / $101.73 / $136.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.85 / $301.99 / $406.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.41 / $117.00 / $155.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.17 / $101.80 / $248.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.08 / $750.00 / $1,326.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.88 / $119.85 / $179.78