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Tennessee 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
$394.20 / $2,130.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.29 / $296.33 / $430.73
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.06 / $176.06 / $176.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$764.00 / $1,491.00 / $2,257.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.21 / $328.04 / $529.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.06 / $372.02 / $678.18
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,479.84 / $1,510.50
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,568.32 / $2,603.76 / $3,032.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$291.86 / $786.00 / $2,577.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.35 / $371.78 / $703.40