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Pennsylvania rates for HCPCS 12041

Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.5 cm or less

Facilitymedian $1,096 · 10th–90th $240$5,7540%5%10%10th90th$1,096Professionalmedian $257 · 10th–90th $132$6310%10%10th90th$257$50.0$200.0$1.0K$5.0K$20.0K

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
$245.47 / $1,096.48 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $257.04 / $676.08
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,235.94 / $7,943.28 / $12,589.25
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $123.03 / $131.83
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,174.90 / $1,258.93 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $426.58 / $426.58
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $239.88 / $398.11
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $407.38 / $446.68
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $288.40 / $426.58
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$323.59 / $812.83 / $1,412.54
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $251.19 / $302.00
Independence Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$660.69 / $7,244.36 / $11,748.98
Independence Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $123.03 / $131.83
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$213.80 / $1,288.25 / $5,754.40
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $234.42 / $446.68
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $416.87 / $977.24
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $223.87 / $478.63
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $154.88 / $371.54
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
$125.89 / $213.80 / $380.19