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Wyoming 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
$208.93 / $363.08 / $707.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $549.54 / $776.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $398.11 / $616.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $338.84 / $3,090.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $416.87 / $851.14