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Arizona 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
$936.00 / $2,114.00 / $5,506.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.20 / $311.76 / $552.63
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.60 / $145.60 / $145.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$412.80 / $1,651.20 / $2,700.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.56 / $221.95 / $345.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.82 / $294.05 / $498.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$202.14 / $329.00 / $1,510.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.36 / $345.44 / $2,702.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$340.68 / $1,203.00 / $2,175.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.52 / $335.28 / $466.25