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Louisiana 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
$262.86 / $971.00 / $3,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.27 / $314.99 / $512.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.26 / $492.30 / $980.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.47 / $352.87 / $435.10
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.22 / $178.22 / $178.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.99 / $352.16 / $587.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.00 / $513.00 / $1,226.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.33 / $344.39 / $524.80