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Oregon 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
$387.01 / $810.35 / $7,920.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.45 / $314.99 / $619.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.68 / $557.42 / $977.42
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.93 / $517.85 / $847.13
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.99 / $481.14 / $815.71
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.38 / $550.88 / $758.73
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.92 / $595.17 / $732.31
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.99 / $505.97 / $940.48
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.95 / $588.79 / $915.39
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.57 / $1,208.00 / $1,492.71
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$414.34 / $674.07 / $1,038.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$376.00 / $3,290.00 / $6,216.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.62 / $660.40 / $1,155.17