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Massachusetts 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
$265.93 / $1,803.00 / $3,363.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.76 / $276.67 / $574.01
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$308.00 / $781.24 / $2,713.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.21 / $513.80 / $1,568.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$254.00 / $330.20 / $582.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.12 / $553.59 / $910.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $50.00 / $50.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.52 / $508.33 / $1,085.70
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.18 / $463.14 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.03 / $509.36 / $703.31
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.83 / $562.76 / $979.03
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.16 / $219.87 / $232.68
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.87 / $306.87 / $322.20
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,479.84 / $3,445.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.10 / $664.19 / $2,603.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.00 / $1,818.00 / $2,733.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.64 / $499.21 / $996.29