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Missouri 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 $1,023 · 10th–90th $112–$4,2660%5%10th90th$1,023Professionalmedian $132 · 10th–90th $66–$3240%5%10%10th90th$132$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
$97.72 / $549.54 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $128.82 / $380.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$676.08 / $1,819.70 / $4,168.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $138.04 / $234.42
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $154.88 / $204.17
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $144.54 / $251.19
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $173.78 / $912.01
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $186.21 / $1,071.52
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$158.49 / $549.54 / $1,513.56
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $120.23 / $204.17