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Maine rates for HCPCS 12053

Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm

Facilitymedian $490 · 10th–90th $417$10,0000%20%40%10th90th$490Professionalmedian $302 · 10th–90th $186$5890%10%10th90th$302$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$416.87 / $489.78 / $10,000.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $295.12 / $575.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $363.08 / $588.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $457.09 / $812.83
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $416.87 / $691.83
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $288.40 / $537.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $398.11 / $741.31