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Washington rates for HCPCS 12031

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

Facilitymedian $692 · 10th–90th $288–$6,4570%5%10%10th90th$692Professionalmedian $288 · 10th–90th $145–$8910%10%10th90th$288$1.0$5.0$20.0$100.0$500.0$2.0K$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
$302.00 / $1,412.54 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $263.03 / $1,000.00
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $269.15 / $707.95
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$758.58 / $1,071.52 / $2,137.96
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $354.81 / $616.60
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$281.84 / $281.84 / $426.58
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $354.81 / $741.31
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$229.09 / $363.08 / $691.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $371.54 / $645.65
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $97.72
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$331.13 / $478.63 / $524.81
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$229.09 / $354.81 / $363.08
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $363.08 / $645.65
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$724.44 / $1,096.48 / $2,137.96
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $354.81 / $562.34
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$371.54 / $1,380.38 / $2,754.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $302.00 / $588.84
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $281.84 / $380.19