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Wisconsin rates for HCPCS 12037

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $660.69 / $3,090.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $4,570.88 / $7,079.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $1,479.11 / $2,398.83
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $870.96 / $3,715.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $870.96 / $5,128.61
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $1,023.29 / $1,778.28
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $5,623.41 / $5,623.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $3,801.89 / $6,606.93