go back

Arizona rates for HCPCS 12021

Tx Superficial Wound Dehiscence W/Packing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,170.00 / $2,640.00 / $5,506.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.37 / $152.43 / $232.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$438.60 / $1,704.86 / $2,700.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.58 / $134.94 / $168.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.91 / $160.25 / $292.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.55 / $167.67 / $1,448.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.91 / $168.00 / $1,316.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$716.00 / $1,535.00 / $2,175.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.91 / $162.87 / $225.06