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Colorado 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 $1,380 · 10th–90th $195–$7,0790%5%10%10th90th$1,380Professionalmedian $129 · 10th–90th $66–$3160%10%10th90th$129$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$138.04 / $707.95 / $7,079.46
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $128.82 / $323.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,454.71 / $3,467.37 / $8,511.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $141.25 / $245.47
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $151.36 / $239.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $234.42 / $660.69
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $131.83 / $165.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$676.08 / $1,479.11 / $2,691.53
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $147.91 / $245.47