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Vermont 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 $479 · 10th–90th $158–$1,2590%10%20%10th90th$479Professionalmedian $141 · 10th–90th $72–$2880%10%10th90th$141$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$158.49 / $489.78 / $1,258.93
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $134.90 / $288.40
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$371.54 / $389.05 / $602.56
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $263.03 / $426.58
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $177.83 / $257.04
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $194.98 / $194.98
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $154.88 / $275.42