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Ohio rates for HCPCS 12017

Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 20.1 cm to 30.0 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $3,715.35 / $10,715.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $151.36 / $3,019.95
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
$208.93 / $302.00 / $501.19
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $151.36 / $151.36
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
$147.91 / $229.09 / $389.05
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
$138.04 / $218.78 / $389.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $147.91
SummaCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $501.19
SummaCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $186.21 / $371.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $954.99 / $2,951.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $190.55 / $316.23