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New York rates for HCPCS 12020

Treatment of superficial wound dehiscence; simple closure

Facilitymedian $3,162 · 10th–90th $316$7,4130%5%10%10th90th$3,162Professionalmedian $269 · 10th–90th $166$6920%10%10th90th$269$100.0$500.0$2.0K$10.0K$50.0K

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
$263.03 / $2,951.21 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $263.03 / $691.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $3,630.78 / $5,011.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $275.42 / $660.69
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$263.03 / $1,258.93 / $4,073.80
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $263.03 / $426.58
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$316.23 / $3,235.94 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $346.74 / $758.58
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$114.82 / $208.93 / $478.63
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $446.68 / $676.08
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $295.12 / $549.54
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $812.83 / $6,606.93
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$190.55 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $398.11 / $446.68
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,318.26 / $2,398.83 / $4,897.79
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $275.42 / $660.69
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$154.88 / $204.17 / $660.69
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $346.74 / $630.96