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Vermont 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
Professional
Modifier
Low / Median / High Price
$173.78 / $295.12 / $912.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $724.44 / $933.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $446.68 / $467.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $467.74 / $1,318.26
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $602.56 / $602.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $407.38 / $851.14