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Kansas 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
$117.96 / $1,629.00 / $8,101.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.86 / $113.38 / $188.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.00 / $487.91 / $606.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.28 / $122.68 / $214.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.59 / $136.04 / $250.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.86 / $166.00 / $797.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.76 / $190.20 / $1,072.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.00 / $500.00 / $1,713.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.16 / $156.16 / $243.63