go back

Idaho 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
$387.01 / $663.50 / $4,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.27 / $325.22 / $557.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.88 / $381.80 / $594.35
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$227.35 / $351.99 / $585.45
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.38 / $436.48 / $700.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $563.29
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$569.62 / $958.04 / $1,244.19
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.41 / $433.44 / $682.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,800.00 / $8,244.00 / $9,193.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.72 / $453.60 / $605.53