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Michigan 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
$251.31 / $441.25 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.68 / $310.94 / $441.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$272.58 / $372.60 / $859.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.94 / $307.02 / $436.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.28 / $333.27 / $904.97
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.64 / $521.64 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.35 / $342.48 / $480.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.66 / $283.82 / $414.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$313.16 / $1,247.00 / $2,029.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.22 / $379.11 / $511.05