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New York rates for HCPCS 12031

Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.5 cm or less

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.13 / $2,036.00 / $7,028.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.78 / $226.75 / $538.76
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.97 / $259.45 / $470.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,691.00 / $3,382.00 / $4,707.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.19 / $214.80 / $516.91
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.04 / $212.04 / $6,213.00
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.04 / $212.04 / $373.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$253.70 / $253.70 / $14,648.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.30 / $270.05 / $602.70
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.00 / $184.47 / $391.88
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.87 / $353.37 / $741.82
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.26 / $241.66 / $485.33
Fidelis
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.55 / $296.55 / $296.55
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.24 / $497.36 / $1,701.65
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.66 / $304.97 / $335.62
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$253.70 / $555.00 / $74,999.25
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.63 / $313.23 / $712.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$964.00 / $2,826.00 / $4,851.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.53 / $289.99 / $632.34
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.60 / $162.60 / $418.96
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.26 / $281.97 / $554.49