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California 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
$344.57 / $4,013.00 / $15,795.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.97 / $314.99 / $803.70
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.60 / $145.60 / $145.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,143.00 / $5,863.00 / $11,400.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.93 / $291.23 / $647.19
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $5,230.01
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.61 / $267.52 / $572.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.08 / $344.32 / $669.57
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.59 / $289.41 / $541.04
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.82 / $384.93 / $685.32
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,479.84 / $1,510.50
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,568.32 / $2,603.76 / $3,032.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.99 / $304.91 / $527.96
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.75 / $364.21 / $701.44
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$706.65 / $706.65 / $1,182.70
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.51 / $203.27 / $409.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$570.00 / $1,533.00 / $5,830.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.81 / $345.44 / $814.13