go back

Arizona rates for HCPCS 12021

Treatment of superficial wound dehiscence; with packing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $3,090.30 / $6,309.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $154.88 / $446.68
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $162.18 / $162.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $1,348.96 / $1,995.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $144.54 / $229.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $162.18 / $302.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $186.21 / $1,905.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $181.97 / $1,318.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $1,202.26 / $2,187.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $147.91 / $218.78