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North Dakota 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
$72.56 / $128.15 / $511.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.98 / $113.38 / $146.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.00 / $186.36 / $308.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.10 / $210.98 / $406.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.56 / $128.15 / $315.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.16 / $235.09 / $1,072.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.52 / $385.52 / $385.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.16 / $228.01 / $276.58