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Minnesota 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
$66.07 / $281.84 / $512.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $114.82 / $316.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $436.52 / $912.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $223.87 / $416.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $489.78 / $1,174.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $288.40 / $549.54
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $467.74 / $912.01
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $269.15 / $489.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $204.17 / $562.34
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $245.47 / $616.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $1,862.09 / $3,715.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $190.55 / $389.05