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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

Facilitymedian $389 · 10th–90th $141–$3,8020%5%10%10th90th$389Professionalmedian $158 · 10th–90th $69–$4070%5%10th90th$158$50.0$200.0$1.0K$5.0K

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
$141.25 / $389.05 / $5,011.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $147.91 / $467.74
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $199.53 / $380.19
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $162.18 / $645.65
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$109.65 / $302.00 / $1,621.81
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $251.19 / $616.60
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $288.40 / $354.81
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $165.96 / $338.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$302.00 / $1,023.29 / $2,344.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $158.49 / $295.12
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $151.36 / $275.42