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New York 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
$286.67 / $2,626.00 / $7,185.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.97 / $296.13 / $594.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,691.00 / $3,382.00 / $4,707.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.70 / $277.11 / $691.81
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$301.64 / $301.64 / $6,213.00
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.64 / $301.64 / $522.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$362.79 / $362.79 / $14,648.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.54 / $377.07 / $845.10
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.00 / $262.22 / $555.84
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.69 / $488.78 / $1,026.29
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.45 / $334.94 / $671.19
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$392.23 / $643.15 / $786.11
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.96 / $425.96 / $630.85
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$362.79 / $555.00 / $74,999.25
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.67 / $432.39 / $929.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$964.00 / $2,826.00 / $4,851.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.80 / $374.96 / $840.32
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.91 / $230.91 / $673.56
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.45 / $389.96 / $766.84