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Oklahoma 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
$500.00 / $2,652.00 / $7,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.27 / $314.99 / $364.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$570.86 / $890.36 / $1,396.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.89 / $347.20 / $476.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.80 / $310.35 / $503.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$202.14 / $364.64 / $1,510.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.33 / $366.67 / $2,702.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.00 / $604.50 / $1,883.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.27 / $351.36 / $531.45