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Iowa rates for HCPCS 12016

Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 12.6 cm to 20.0 cm

Facilitymedian $1,950 · 10th–90th $257$6,0260%10%10th90th$1,950Professionalmedian $339 · 10th–90th $135$8130%5%10%10th90th$339$100.0$200.0$500.0$1.0K$2.0K$5.0K$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
$190.55 / $3,090.30 / $6,760.83
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $275.42 / $812.83
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$190.55 / $501.19 / $1,621.81
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $478.63 / $588.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588.84 / $1,148.15 / $2,344.23