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Alaska rates for HCPCS 12053

Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$857.17 / $6,541.00 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.79 / $1,051.83 / $1,702.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.95 / $597.75 / $1,117.19
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,051.83 / $1,504.12 / $2,383.98
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.83 / $629.79 / $1,050.93
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$704.00 / $939.00 / $1,514.03
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,051.83 / $1,504.12 / $2,383.98
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.60 / $900.00 / $1,524.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.08 / $893.76 / $1,348.33