go back

Washington, DC 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
$382.05 / $1,556.00 / $4,100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.27 / $295.49 / $434.15
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.03 / $188.03 / $660.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.20 / $346.95 / $732.29
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.60 / $851.95 / $851.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.00 / $442.00 / $5,940.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.89 / $469.09 / $984.49