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Louisiana 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 $646 · 10th–90th $135–$3,3110%5%10th90th$646Professionalmedian $115 · 10th–90th $68–$2190%10%10th90th$115$50.0$100.0$200.0$500.0$1.0K$2.0K$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
$109.65 / $891.25 / $3,467.37
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $114.82 / $218.78
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $61.66 / $190.55
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$186.21 / $354.81 / $524.81
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $125.89 / $147.91
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $69.18 / $69.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $120.23 / $208.93
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$208.93 / $457.09 / $1,258.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $117.49 / $199.53