go back

New Hampshire rates for HCPCS 12035

Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 12.6 cm to 20.0 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.18 / $833.35 / $2,341.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.38 / $293.51 / $405.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,223.09 / $1,359.00 / $3,300.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.13 / $423.45 / $730.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,751.69 / $1,751.69 / $1,812.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.68 / $561.91 / $1,118.36
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.00 / $655.94 / $1,214.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,448.00 / $7,448.00 / $7,448.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.69 / $630.64 / $1,371.96
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.76 / $308.30 / $431.62