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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
$213.80 / $426.58 / $1,995.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $288.40 / $489.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $562.34 / $831.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $575.44 / $977.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $363.08 / $645.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $645.65 / $2,691.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $2,041.74 / $2,041.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $407.38 / $691.83