go back

Virginia 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
$337.37 / $829.37 / $6,827.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.01 / $324.74 / $539.85
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,735.00 / $2,390.00 / $2,954.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.37 / $335.90 / $510.05
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.03 / $188.03 / $974.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$362.79 / $362.79 / $362.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.23 / $343.57 / $585.74
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.03 / $423.60 / $504.29
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$202.20 / $320.95 / $480.09
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.00 / $478.00 / $688.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$201.86 / $273.14 / $1,169.82
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.62 / $441.09 / $1,380.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.00 / $1,045.00 / $2,364.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.82 / $355.35 / $631.79