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South Carolina 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
$234.42 / $1,584.89 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $302.00 / $537.03
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $257.04 / $257.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $331.13 / $676.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $281.84 / $436.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $346.74 / $346.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $316.23 / $562.34
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $407.38 / $407.38
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $316.23 / $478.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $1,230.27 / $3,548.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $281.84 / $478.63