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New Jersey rates for HCPCS 12013

Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm

Facilitymedian $1,660 · 10th–90th $200–$9,3330%5%10%10th90th$1,660Professionalmedian $123 · 10th–90th $52–$3800%10%10th90th$123$20.0$100.0$500.0$2.0K$10.0K

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
$169.82 / $1,659.59 / $9,332.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $125.89 / $398.11
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,412.54 / $1,412.54 / $1,412.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $125.89 / $269.15
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $169.82 / $239.88
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $645.65 / $1,000.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $112.20 / $213.80
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,318.26 / $2,630.27 / $6,606.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $81.28 / $199.53