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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

Facilitymedian $2,089 · 10th–90th $380–$7,2440%5%10th90th$2,089Professionalmedian $347 · 10th–90th $209–$7240%10%10th90th$347$100.0$500.0$2.0K$10.0K$50.0K

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
$380.19 / $2,187.76 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $346.74 / $724.44
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,174.90 / $1,258.93 / $57,543.99
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $363.08 / $588.84
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $645.65 / $707.95
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $457.09 / $676.08
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$724.44 / $1,380.38 / $2,089.30
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $389.05 / $398.11
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$354.81 / $1,584.89 / $6,606.93
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $354.81 / $776.25
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $660.69 / $1,513.56
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$234.42 / $380.19 / $407.38
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $371.54 / $407.38
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$363.08 / $977.24 / $3,890.45
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $338.84 / $588.84