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Pennsylvania 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
$362.72 / $1,598.19 / $7,175.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.25 / $338.65 / $650.90
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,083.51 / $1,395.00 / $12,759.45
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$379.96 / $394.30 / $394.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.87 / $363.81 / $587.99
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.02 / $592.74 / $612.78
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$752.00 / $1,193.74 / $2,944.24
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.57 / $352.57 / $372.96
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$381.09 / $1,742.50 / $7,693.75
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.62 / $361.42 / $776.22
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.10 / $289.10 / $304.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$408.00 / $408.00 / $408.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.47 / $368.78 / $609.88
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.37 / $240.07 / $377.59
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.37 / $369.26 / $405.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.00 / $674.00 / $4,300.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.43 / $427.17 / $741.63