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Rhode Island 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
$1,518.41 / $1,543.03 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.76 / $265.93 / $355.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.24 / $321.43 / $518.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.39 / $439.50 / $732.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.00 / $1,401.00 / $4,915.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.30 / $398.85 / $652.55