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Kentucky 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
$71.87 / $209.93 / $1,716.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.92 / $108.78 / $147.50
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $72.44 / $72.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,013.00 / $8,584.00 / $11,253.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.43 / $121.86 / $180.29
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.54 / $84.68 / $98.86
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.66 / $100.64 / $238.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.45 / $125.45 / $163.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.27 / $135.22 / $272.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $155.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $597.00 / $1,895.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.01 / $164.40 / $234.15