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Ohio rates for HCPCS 12036

Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 20.1 cm to 30.0 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $3,019.95 / $10,715.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $407.38 / $1,096.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $2,089.30 / $3,981.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $380.19 / $630.96
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $275.42 / $275.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,379.62 / $21,379.62 / $21,379.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $426.58 / $724.44
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,379.62 / $21,379.62 / $21,379.62
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $426.58 / $676.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $204.17
SummaCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $912.01
SummaCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $478.63 / $724.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $954.99 / $2,951.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $380.19 / $616.60