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Delaware 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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.48 / $181.92 / $1,566.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.16 / $115.76 / $116.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.81 / $128.43 / $245.63
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$697.15 / $697.15 / $697.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.54 / $157.97 / $297.45