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Iowa 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
$206.28 / $836.21 / $5,549.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.95 / $161.68 / $653.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.74 / $194.78 / $374.94
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.06 / $182.39 / $457.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.57 / $254.36 / $1,341.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.09 / $249.78 / $619.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.38 / $289.26 / $365.09
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.38 / $250.03 / $356.70
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.93 / $143.94 / $261.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.89 / $597.22 / $1,966.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.00 / $193.46 / $355.63
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.80 / $152.80 / $278.30