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New Jersey 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
$218.78 / $2,454.71 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $138.04 / $380.19
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $3,019.95 / $3,019.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $144.54 / $269.15
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $234.42 / $263.03
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $645.65 / $1,000.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $128.82 / $239.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $2,884.03 / $7,762.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $97.72 / $229.09