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Louisiana rates for HCPCS 12052

Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$242.07 / $900.00 / $3,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.18 / $285.64 / $402.12
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.60 / $280.63 / $378.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.60 / $677.04 / $1,122.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.20 / $319.35 / $372.20
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$258.52 / $258.52 / $258.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.71 / $315.70 / $512.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.00 / $513.00 / $1,226.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.18 / $302.25 / $478.70