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North Dakota 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
$216.14 / $921.36 / $1,167.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.27 / $311.95 / $366.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.73 / $552.27 / $837.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.46 / $663.52 / $1,132.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.14 / $359.05 / $648.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.67 / $645.78 / $2,702.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.64 / $571.21 / $938.44