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Wyoming 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
$199.53 / $446.68 / $776.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $141.25 / $263.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $186.21 / $281.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $144.54 / $229.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $295.12 / $3,090.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $199.53 / $398.11