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North Carolina 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
$111.92 / $355.25 / $1,340.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.62 / $124.14 / $276.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.95 / $189.83 / $320.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.35 / $162.76 / $273.95
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.62 / $147.36 / $249.41
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.24 / $226.24 / $226.24
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.34 / $114.31 / $206.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$361.00 / $896.00 / $2,229.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.54 / $136.63 / $285.89
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $492.96 / $492.96
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$619.00 / $1,107.74 / $1,126.65