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Arkansas 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
$251.13 / $975.00 / $2,812.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.31 / $285.79 / $368.48
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.16 / $252.16 / $252.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.42 / $379.42 / $455.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.89 / $317.48 / $479.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.65 / $136.65 / $136.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.00 / $336.95 / $547.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.00 / $337.00 / $858.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.66 / $366.67 / $653.10